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Organization
WITHANIA NATURAL HEALTH, SC
Active
Organization
WITHANIA NATURAL HEALTH, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELSEY LOUISE BOTTERMAN DC, ND (OWNER, PHYSICIAN)
(779) 220-0208
Entity
Organization
Contact information
Practice address
820 E TERRA COTTA AVE STE 215, CRYSTAL LAKE, IL 60014-3646
(779) 220-0208
(779) 220-0849
Mailing address
820 E TERRA COTTA AVE STE 215, CRYSTAL LAKE, IL 60014-3646
(779) 220-0208
(779) 220-0849
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
11/11/2020
Last updated
11/11/2020
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