Willareth, Glenn C

Willareth, Glenn C is an individual health care provider with primary practice located at 118 E Jackson St , Morris IL 60450-1891. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Willareth, Glenn C can be contacted via phone (815) 942-5350.

Contact Information

Primary practice address
118 E Jackson St Morris IL 60450-1891
Phone: (815) 942-5350
Fax: (815) 942-5414
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 0380003315 Illinois

Profile Details

NPI number 1720044571
LBN Legal business name Willareth, Glenn C
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1720044571 NPPES
Illinois Other 3282001 BLUE CROSS/BLUE SHIELD

Popular Providers