Individual
DR. LEANNE MARIE WALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
522 N SUGAR GROVE PKWY STE C, SUGAR GROVE, IL 60554
(309) 696-8803
Mailing address
522 N SUGAR GROVE PKWY STE C, SUGAR GROVE, IL 60554-8111
(309) 696-8803
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038.012077
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1942577374
INDIVIDUAL NPI
IL
Enumeration date
11/30/2011
Last updated
12/27/2019
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