Organization
HEALING WATERS CHIROPRACTIC AND ORTHOPEDICS LLC
Active
Other names
Healing Waters Chiropractic LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AGNIESZKA CLUCHEY D.C (OWNER)
(815) 776-7610
Entity
Organization
Contact information
Practice address
300 SUMMIT ST, GALENA, IL 61036-1638
(815) 776-7610
Mailing address
300 SUMMIT ST, GALENA, IL 61036-1638
(815) 776-7610
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
038.011701
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1346560752
MEDICARE
IL
Enumeration date
03/02/2018
Last updated
06/01/2022
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