NPI 1346649423 · live from the CMS NPI Registry
41 North Chiropractic & Soft Tissue Clinic, P.C.
Chiropractor in Saint Charles, IL. National Provider Identifier 1346649423, active.
NPI record
| NPI | 1346649423 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Chiropractor 111N00000X |
| Practice location | 1434 E Main St, Suite A, Saint Charles, IL 60174 |
| Practice phone | 630-450-5515 |
| Enumerated | August 14, 2014 |
| Last updated | August 14, 2014 |
| Authorized official | Anita Dickerson, Chiropractor |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor primary | 111N00000X | 038010318 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.