Individual
KEITH WILLIAM WALDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1815 S MAIN ST, EUREKA, IL 61530-1707
(309) 265-0200
(309) 205-3896
Mailing address
1815 S MAIN ST, EUREKA, IL 61530-1707
(309) 265-0200
(309) 205-3896
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038.014171
IL
Other
Enumeration date
08/13/2024
Last updated
08/17/2024
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