# HEALING WATERS CHIROPRACTIC AND ORTHOPEDICS LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Healing Waters Chiropractic LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588166854
- **Authorized official:** DR. AGNIESZKA CLUCHEY D.C (OWNER)
- **Authorized official phone:** (815) 776-7610

## Contact information

- **Practice address:** 300 SUMMIT ST, GALENA, IL 61036-1638
- **Practice address phone:** (815) 776-7610
- **Mailing address:** 300 SUMMIT ST, GALENA, IL 61036-1638
- **Mailing address phone:** (815) 776-7610

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 038.011701 | IL | Yes |

## Other

- **Enumeration date:** 03/02/2018
- **Last updated:** 06/01/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1346560752 | MEDICARE | IL |