NPI 1104030964 · live from the CMS NPI Registry
Adio Chiropractic Clinic Sc
Chiropractor in Libertyville, IL. National Provider Identifier 1104030964, active.
NPI record
| NPI | 1104030964 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Chiropractor 111N00000X |
| Practice location | 316 Peterson Rd, Libertyville, IL 60048 |
| Practice phone | 847-816-3350 |
| Enumerated | May 10, 2007 |
| Last updated | October 30, 2013 |
| Authorized official | Kathryn Putts-Cantwell, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor primary | 111N00000X | 0380006958 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.