Individual
DR. ITASCA L WAITERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C
Contact information
Practice address
1604 SIBLEY BLVD, CALUMET CITY, IL 60409-2231
(708) 323-7691
(708) 753-6214
Mailing address
1604 SIBLEY BLVD, CALUMET CITY, IL 60409-2231
(708) 323-7691
(708) 753-6214
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Enumeration date
08/20/2006
Last updated
07/08/2007
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