Organization
ESSENTIAL HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHADI HOJATI MCMILLAN (PRACTICE MANAGER)
(949) 788-1980
Entity
Organization
Contact information
Practice address
742 N MARKET ST, SUITE D, WATERLOO, IL 62298-1079
(618) 939-9850
(618) 939-9860
Mailing address
742 N MARKET ST, SUITE D, WATERLOO, IL 62298-1079
(618) 939-9850
(618) 939-9860
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038011126
IL
Other
Enumeration date
11/01/2008
Last updated
01/21/2009
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