Healthcare Provider Details

I. General information

NPI: 1316950231
Provider Name (Legal Business Name): RICHMOND CHIROPRACTIC & NATURAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3520 CHAPEL HILL RD
JOHNSBURG IL
60050-2506
US

IV. Provider business mailing address

3520 CHAPEL HILL RD
JOHNSBURG IL
60050-2506
US

V. Phone/Fax

Practice location:
  • Phone: 815-344-0113
  • Fax: 815-344-8124
Mailing address:
  • Phone: 815-344-0113
  • Fax: 815-344-8124

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number StateIL

VIII. Authorized Official

Name: DR. ZOHAR S. MOR
Title or Position: OWNER/PRESIDENT
Credential: D.C.
Phone: 815-344-0113