Organization
LEADING EDGE HEALTH & WELLNESS DIAGNOSTIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRI JO GILLETTE DC (PRESIDENT)
(815) 941-5117
Entity
Organization
Contact information
Practice address
1013 LIBERTY ST, MORRIS, IL 60450-1510
(815) 941-5117
(815) 941-5118
Mailing address
1013 LIBERTY ST, MORRIS, IL 60450-1510
(815) 941-5117
(815) 941-5118
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038010842
IL
Other
Enumeration date
04/23/2007
Last updated
12/26/2008
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