Provider Demographics
NPI:1821393091
Name:TOUCH OF WELLNESS CHIROPRACTIC S CORP
Entity Type:Organization
Organization Name:TOUCH OF WELLNESS CHIROPRACTIC S CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:M
Authorized Official - Last Name:HANNAH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:309-321-8412
Mailing Address - Street 1:326 S MAIN ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:MORTON
Mailing Address - State:IL
Mailing Address - Zip Code:61550-1974
Mailing Address - Country:US
Mailing Address - Phone:309-321-8412
Mailing Address - Fax:309-321-8340
Practice Address - Street 1:326 S MAIN ST
Practice Address - Street 2:SUITE A
Practice Address - City:MORTON
Practice Address - State:IL
Practice Address - Zip Code:61550-1974
Practice Address - Country:US
Practice Address - Phone:309-321-8412
Practice Address - Fax:309-321-8340
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-20
Last Update Date:2011-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038.011779111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty