Individual
DR. ROBERT A. ILLINGWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1000 BRADY ST, DAVENPORT, IA 52803-5214
(563) 884-5801
(563) 884-5731
Mailing address
4100 KINGS CT, BETTENDORF, IA 52722-1926
(563) 355-6611
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
A05666
IA
Other
Enumeration date
03/14/2006
Last updated
03/18/2014
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