# WATERLOO MEDICAL CENTER PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750421194
- **Authorized official:** DR. JOHN H. NOBBE DC (CLINIC DIRECTOR)
- **Authorized official phone:** (618) 939-7400

## Contact information

- **Practice address:** 966 S LIBRARY ST, WATERLOO, IL 62298-1484
- **Practice address phone:** (618) 939-7400
- **Practice address fax:** (618) 939-7434
- **Mailing address:** 966 S LIBRARY ST, WATERLOO, IL 62298-1484
- **Mailing address phone:** (618) 939-7400
- **Mailing address fax:** (618) 939-7434

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NR0400X | Rehabilitation Chiropractor | 038-007391 | IL | Yes |
| 183500000X | Pharmacist | 051-036716 | IL | — |

## Other

- **Enumeration date:** 02/07/2007
- **Last updated:** 04/01/2013