Organization
WATERLOO MEDICAL CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN H. NOBBE DC (CLINIC DIRECTOR)
(618) 939-7400
Entity
Organization
Contact information
Practice address
966 S LIBRARY ST, WATERLOO, IL 62298-1484
(618) 939-7400
(618) 939-7434
Mailing address
966 S LIBRARY ST, WATERLOO, IL 62298-1484
(618) 939-7400
(618) 939-7434
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
038-007391
IL
183500000X
Pharmacist
051-036716
IL
Other
Enumeration date
02/07/2007
Last updated
04/01/2013
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