Individual
NADINE M ILLICHMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
117 GARDNER ST STE A, TWO RIVERS, WI 54241-3205
(920) 304-9374
Mailing address
117 GARDNER ST STE A, TWO RIVERS, WI 54241-3205
(920) 304-9374
(920) 875-5593
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5374-12
WI
Other
Enumeration date
07/18/2018
Last updated
07/14/2026
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