Organization
CHIRO-MED II, LTD
Active
Other names
Regenerative Neuropathy of OFallon
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAD BRIAN WEBER D.C. (OWNER)
(618) 581-5370
Entity
Organization
Contact information
Practice address
1480 N GREEN MOUNT RD, O FALLON, IL 62269-3466
(618) 622-2222
(618) 624-8357
Mailing address
1480 N GREEN MOUNT RD STE 300, O FALLON, IL 62269-3466
(618) 622-2222
(618) 624-8357
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-010438
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1215964143
INDIVIDUAL NPI
IL
Enumeration date
07/08/2006
Last updated
11/07/2023
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