Provider Demographics
NPI:1952172546
Name:KWR MANAGEMENT LLC
Entity Type:Organization
Organization Name:KWR MANAGEMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:KAYLEE
Authorized Official - Middle Name:
Authorized Official - Last Name:CONFER
Authorized Official - Suffix:
Authorized Official - Credentials:DC, ND
Authorized Official - Phone:586-531-6335
Mailing Address - Street 1:2640 PATRIOT BLVD STE 220
Mailing Address - Street 2:
Mailing Address - City:GLENVIEW
Mailing Address - State:IL
Mailing Address - Zip Code:60026-8075
Mailing Address - Country:US
Mailing Address - Phone:224-616-3002
Mailing Address - Fax:
Practice Address - Street 1:2640 PATRIOT BLVD STE 220
Practice Address - Street 2:
Practice Address - City:GLENVIEW
Practice Address - State:IL
Practice Address - Zip Code:60026-8075
Practice Address - Country:US
Practice Address - Phone:224-616-3002
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-11
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NN1001XChiropractic ProvidersChiropractorNutrition
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty