Organization
KOHLMEIER CHIROPRACTIC THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WAYNE LEWIS KOHLMEIER DC (DOCTOR OF CHIROPRACTIC)
(618) 939-3033
Entity
Organization
Contact information
Practice address
1329 NORTH ROUTE 3, WATERLOO, IL 62298
(618) 939-3033
(618) 282-3971
Mailing address
1329 NORTH ROUTE 3, WATERLOO, IL 62298
(618) 939-3033
(618) 282-3971
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
383378
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
187909
HEALTH LINK
IL
01
—
7982004
BCBS
IL
Enumeration date
05/23/2007
Last updated
08/22/2020
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