Organization
CHURCHILL PHYSICAL HEALTH CENTER SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RHONDA COOK D.C. (CO-OWNER)
(815) 741-3200
Entity
Organization
Contact information
Practice address
823 N 129TH INFANTRY DR, JOLIET, IL 60435-8346
(815) 741-3200
(815) 741-8131
Mailing address
823 N 129TH INFANTRY DR, JOLIET, IL 60435-8346
(815) 741-3200
(815) 741-8131
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038006857
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1306995212
NPI
IL
01
—
1619027224
NPI
IL
01
—
1639228539
NPI
IL
Enumeration date
04/02/2007
Last updated
11/14/2017
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