Organization
ADIO CHIROPRACTIC CLINIC SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHRYN RAE PUTTS-CANTWELL DC (PRESIDENT)
(847) 816-3350
Entity
Organization
Contact information
Practice address
316 PETERSON RD, LIBERTYVILLE, IL 60048
(847) 816-3350
(847) 816-6923
Mailing address
316 PETERSON RD, LIBERTYVILLE, IL 60048
(847) 816-3350
(847) 816-6923
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0380006958
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209726
P-TAN
IL
Enumeration date
05/10/2007
Last updated
10/30/2013
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