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General NPI Number Information
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NPI Number | 1548363088
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Entity Type | Organization
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Legal Business Name | HERWIG CHIROPRACTIC LTD
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Dates
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Enumeration Date | 09/07/2006
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Last Update Date | 12/07/2015
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Provider Practice Location Address
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Address Line | 712 N BLOOMINGTON ST
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City | STREATOR
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State | IL
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Zip | 61364-2087
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Country | US
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Telephone | 815-672-6961
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Fax | 815-672-6891
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Provider Business Mailing Address
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Address Line | 712 N BLOOMINGTON ST
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City | STREATOR
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State | IL
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Zip | 61364-2087
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Country | US
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Telephone | 815-672-6961
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Fax | 815-672-6891
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. WILLIAM CURTIS HERWIG
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Credential | DC
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Telephone | 630-208-9332
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 038007374
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License Number State | IL
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