Provider Demographics
NPI:1598776486
Name:HEALTH SOLUTIONS OF MORTON, LLC
Entity Type:Organization
Organization Name:HEALTH SOLUTIONS OF MORTON, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:MISS
Authorized Official - First Name:NELLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BARGAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:309-284-0707
Mailing Address - Street 1:1636 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MORTON
Mailing Address - State:IL
Mailing Address - Zip Code:61550-9057
Mailing Address - Country:US
Mailing Address - Phone:309-284-0707
Mailing Address - Fax:
Practice Address - Street 1:1636 N MAIN ST
Practice Address - Street 2:
Practice Address - City:MORTON
Practice Address - State:IL
Practice Address - Zip Code:61550-9057
Practice Address - Country:US
Practice Address - Phone:309-284-0707
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-10
Last Update Date:2009-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL202939Medicare PIN