William L. Judge Chiropractic Center, Pc

LBN: William L. Judge Chiropractic Center, Pc
William L. Judge Chiropractic Center, Pc is an health care organization with primary practice located at 130 3Rd St , La Salle IL 61301-2312. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. William L. Judge Chiropractic Center, Pc can be contacted via phone (815) 223-0647, or through Judge, William L. via phone (815) 223-0647.

Contact Information

Primary practice address
130 3Rd St La Salle IL 61301-2312
Fax: (815) 223-0987
Website:
Authorized official contact:
Name: Judge, William L. Doctor of Chiropractic (DC)

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 038-004603 Illinois

Profile Details

NPI number 1245384528
LBN Legal business name William L. Judge Chiropractic Center, Pc
DBA Doing business as
Authorized official Judge, William L. Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 23rd, 2007
Last updated Dec 23rd, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245384528 NPPES
Illinois MEDICAID 038004603

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