Healthcare Provider Details

I. General information

NPI: 1386579910
Provider Name (Legal Business Name): FRANCISCO JAVIER ROMERO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 14TH AVE
MENDOTA IL
61342-1001
US

IV. Provider business mailing address

1301 14TH AVE
MENDOTA IL
61342-1001
US

V. Phone/Fax

Practice location:
  • Phone: 815-538-5075
  • Fax:
Mailing address:
  • Phone: 815-538-5075
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number038.024452
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: