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WHITE OAK FAMILY WELLNESS SC NPI 1568804136


NPI Information

NPI: 1568804136
Provider Name: WHITE OAK FAMILY WELLNESS, SC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
511 ILLINOIS AVE
ST CHARLES, IL
ZIP 60174
Phone: (630) 442-0057
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WHITE OAK FAMILY WELLNESS, SC is a chiropractor in St Charles, IL. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. WHITE OAK FAMILY WELLNESS, SC NPI is 1568804136. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

511 ILLINOIS AVE
ST CHARLES, IL
ZIP 60174-152
Phone: (630) 442-0057
Fax: (630) 791-0861

The provider's authorized official is Phillip A Gamble .
The authorized official title is Chiropractic Physician, President and has the following contact phone number (630) 442-0057.

The enumeration date for this NPI number is 7/24/2013 and was last updated on 1/9/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor038012389ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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