Organization
FOLEY PHYSICAL MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHAN LEE FOLEY D.C. (MBR LLC)
(815) 717-8646
Entity
Organization
Contact information
Practice address
1215 N CEDAR RD, SUITE 1, NEW LENOX, IL 60451-1293
(815) 717-8646
Mailing address
1215 N CEDAR RD, SUITE 1, NEW LENOX, IL 60451-1293
(815) 717-8646
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038011949
IL
Other
Enumeration date
11/09/2011
Last updated
11/09/2011
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