Individual
DR. KALEB JOE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1713 FORT JESSE RD STE D, NORMAL, IL 61761-6235
(309) 862-2225
Mailing address
1713 FORT JESSE RD STE D, NORMAL, IL 61761-6235
(309) 862-2225
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038013751
IL
Other
Enumeration date
08/30/2021
Last updated
08/30/2021
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