Individual
NADINE M ILLICHMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
2848 MEMORIAL DR STE 9, TWO RIVERS, WI 54241-3639
(920) 304-9374
Mailing address
2848 MEMORIAL DR STE 9, TWO RIVERS, WI 54241-3639
(920) 304-9374
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5374-12
WI
Other
Enumeration date
07/18/2018
Last updated
11/18/2024
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