Individual provider · Type 1 NPI
Tommy Edward John Iii, DC
Chiropractor · Libertyville, IL
NPI number
1861887796
Active
Practice location
13960 W Rockland Rd
Libertyville, IL 60048-9724
Mailing address
1128 Kildare Ave
Libertyville, IL 60048-1203
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 038012617 (IL) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1861887796
Tommy Edward John Iii, DC's National Provider Identifier is 1861887796, issued on Mar 30, 2015. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Libertyville, IL. The record was last updated on Mar 30, 2015.