Organization
LIFESTYLE CHIROPRACTIC WELLNESS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL DONALD PILLER D.C. (OWNER - CHIROPRACTOR)
(815) 623-3379
Entity
Organization
Contact information
Practice address
5290 WILLIAMS DR, ROSCOE, IL 61073-9222
(815) 623-3379
(815) 623-3380
Mailing address
PO BOX 888, ROSCOE, IL 61073-0888
(815) 623-3379
(815) 623-3380
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-009709
IL
Other
Enumeration date
02/25/2013
Last updated
02/25/2013
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