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Organization

SUPERIORHEALTH & WELLNESS OF MCHENRY LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TIMOTHY JAMES HARTLETT D.C. (PRES.)
(815) 344-1192
Entity
Organization

Contact information

Practice address
202 FRONT ST, SOUTH RTE 31, MCHENRY, IL 60050
(815) 344-1192
(815) 344-8070
Mailing address
202 FRONT ST, SOUTH RTE 31, MCHENRY, IL 60050
(815) 344-1192
(815) 344-8070

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
208100000X
Physical Medicine & Rehabilitation Physician
Primary
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner

Other

Enumeration date
02/06/2012
Last updated
02/06/2012
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