Organization
BACK DOCTORS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHLEEN MARIE ROCHE D.C. (PRESIDENT)
(618) 234-1455
Entity
Organization
Contact information
Practice address
5003-2 NORIH ILLINOIS STREET, FAIRIVEW, IL 62208
(618) 234-1455
(618) 277-3475
Mailing address
PO BOX 24101, BELLEVILLE, IL 62223-9101
(618) 234-1455
(618) 277-3475
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-8683
IL
Other
Enumeration date
04/21/2007
Last updated
01/15/2015
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