Individual
DR. JULI WEBER MICETICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
24 E NORTH ST, COAL CITY, IL 60416-1087
(815) 634-0445
Mailing address
24 E NORTH ST, COAL CITY, IL 60416-1087
(815) 634-0445
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038007825
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
350054286
RAILROAD MEDICARE
IL
Enumeration date
06/01/2005
Last updated
11/08/2012
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