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Organization
WILLARETH CLINIC OF CHIROPRACTIC LTD.
Active
Organization
WILLARETH CLINIC OF CHIROPRACTIC LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN C WILLARETH DC (PRES)
(815) 942-5350
Entity
Organization
Contact information
Practice address
118 E. JACKSON ST, MORRIS, IL 60450-1891
(815) 942-5350
(815) 942-5414
Mailing address
118 E. JACKSON ST, MORRIS, IL 60450-1891
(815) 942-5350
(815) 942-5414
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC38-3315
IL
Other
Enumeration date
12/13/2010
Last updated
12/13/2010
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