Individual provider · Type 1 NPI
Taylor Liccar, DC
Chiropractor · Normal, IL
NPI number
1922776046
Active
Practice location
1100 Beech St Ste 13B
Normal, IL 61761-1499
Mailing address
2104 Pacific Ave
Bloomington, IL 61701-1445
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 038012949 (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 1922776046
Taylor Liccar, DC's National Provider Identifier is 1922776046, issued on Sep 2, 2021. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Normal, IL. The record was last updated on Sep 2, 2021.