Individual
DR. TANNER JOSEPH WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
225 W HUBBARD ST STE 302225W, CHICAGO, IL 60654-4916
(785) 448-8796
Mailing address
225 W HUBBARD ST STE 302225W, CHICAGO, IL 60654-4916
(785) 448-8796
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
038013728
IL
Other
Enumeration date
06/16/2021
Last updated
06/16/2021
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