Organization
SPINE INSTITUTE OF WAUKEGAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY G WORTH DC (CLINIC DIRECTOR)
(847) 775-0800
Entity
Organization
Contact information
Practice address
2634 GRAND AVE SUITE 100, WAUKEGAN, IL 60085-2458
(847) 775-0800
(847) 775-0888
Mailing address
2634 GRAND AVE SUITE 100, WAUKEGAN, IL 60085-2458
(847) 775-0800
(847) 775-0888
Taxonomy
Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
—
IL
Other
Enumeration date
05/03/2007
Last updated
08/22/2020
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