Individual
DR. HEIDI JO WESTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
111 E CHURCH ST, MASCOUTAH, IL 62258-2110
(618) 448-0220
(618) 448-0225
Mailing address
111 E CHURCH ST, MASCOUTAH, IL 62258-2110
(618) 448-0220
(618) 448-0225
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038.011353
IL
111N00000X
Chiropractor
A06050
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0153429
—
IA
Enumeration date
10/31/2006
Last updated
11/17/2009
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