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NPI Code Detail

MEDICARE: STACY WILLS

MEDICARE: STACY WILLS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor038010004IL

General Provider Information

NPI Number : 1639200223
Entity Type Code : Organization
Provider Name (Legal Business Name) : STACY WILLS
Provider Business Mailing Address
First Line : 102 MAPLE AVE
Second Line :
City : ROCHELLE
State : IL
Zip : 61068-8926
Country : US
Telephone Number : 815-562-5333
Fax Number : 815-562-5833
Provider Business Practice Location Address
First Line : 102 MAPLE AVE
Second Line :
City : ROCHELLE
State : IL
Zip : 61068-8926
Country : US
Telephone Number : 815-562-5333
Fax Number : 815-562-5833
Authorized Official
Title or Position : OWNER
Name : DR. STACY FAYE WILLS
Credential : DC
Telephone Number : 815-562-5333
Provider Enumeration Date : 03/08/2007
Last Update Date : 02/19/2013

Similar Medicare Providers

1275475931 — NATHAN SPERR
Practice Location Address:
102 MAPLE AVE
ROCHELLE, IL
61068-8926
Practice Phone: 815-562-5333
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1801832571 — DR. BRYAN ANDREW WILLS DC
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1841227048 — DR. STACY FAYE WILLS DC
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1881004240 — WILLS CHIROPRACTIC LLC
Practice Location Address:
102 MAPLE AVE
ROCHELLE, IL
61068-8926
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1144608001 — MRS. SARAH SNOW LMT
Practice Location Address:
102 MAPLE AVE
ROCHELLE, IL
61068-8926
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Practice Fax:
1043757107 — WILLS INTEGRATED HEALTH LLC
Practice Location Address:
102 MAPLE AVE
ROCHELLE, IL
61068-8926
Practice Phone: 815-562-5333
Practice Fax: 815-562-5833

Directions to “STACY WILLS ” Practice Location

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