MEDICARE: CARA K. HILLWIG, DC, LLC

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
1	111N00000X	Chiropractor	DC008968	PA

General Provider Information

NPI Number	:	1114972023
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARA K. HILLWIG, DC, LLC

Provider Business Mailing Address
First Line	:	512 S 4TH ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19147-1507
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	512 S 4TH ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19147-1507
Country	:	US
Telephone Number	:	215-923-2448
Fax Number	:

Authorized Official
Title or Position	:	CHIROPRACTOR / NUTRITIONIST
Name	:	DR. CARA K HILLWIG
Credential	:	DC
Telephone Number	:	215-923-2448

Provider Enumeration Date	:	05/23/2006
Last Update Date	:	07/21/2022

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