Organization
MANTENO CHIROPRACTIC & WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE J BOTTA CHIROPRACTOR (OWNER)
(815) 200-4362
Entity
Organization
Contact information
Practice address
43 W SECOND ST, MANTENO, IL 60950-1240
(815) 200-4362
Mailing address
43 W SECOND ST, MANTENO, IL 60950-1240
(815) 200-4362
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
01/11/2021
Last updated
01/11/2021
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