Healthcare Provider Details

I. General information

NPI: 1285878033
Provider Name (Legal Business Name): ASPIRING HEALTH, LTD.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2009
Last Update Date: 09/08/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

315 E HITT ST UNIT 2
MOUNT MORRIS IL
61054-1209
US

IV. Provider business mailing address

315 E HITT ST UNIT 2
MOUNT MORRIS IL
61054-1209
US

V. Phone/Fax

Practice location:
  • Phone: 815-734-7000
  • Fax: 815-734-7009
Mailing address:
  • Phone: 815-734-7000
  • Fax: 815-734-7009

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number038011390
License Number StateIL

VIII. Authorized Official

Name: DR. TRACY LYNN WOODS
Title or Position: PRESIDENT
Credential: D.C.
Phone: 815-734-7000