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Organization
SUPERIORHEALTH & WELLNESS OF MCHENRY LTD
Active
Organization
SUPERIORHEALTH & WELLNESS OF MCHENRY LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY JAMES HARTLETT D.C. (PRES.)
(815) 344-1192
Entity
Organization
Contact information
Practice address
202 FRONT ST, SOUTH RTE 31, MCHENRY, IL 60050
(815) 344-1192
(815) 344-8070
Mailing address
202 FRONT ST, SOUTH RTE 31, MCHENRY, IL 60050
(815) 344-1192
(815) 344-8070
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
NULL
111N00000X
Chiropractor
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
02/06/2012
Last updated
02/06/2012
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