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NPI Code Detail

MEDICARE: MWB HEALTH SERVICES INC

MEDICARE: MWB HEALTH SERVICES INC
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
1111N00000XChiropractor038007144IL

General Provider Information

NPI Number : 1124298799
Entity Type Code : Organization
Provider Name (Legal Business Name) : MWB HEALTH SERVICES INC
Provider Business Mailing Address
First Line : 111 N STATE ST
Second Line :
City : MARENGO
State : IL
Zip : 60152-2217
Country : US
Telephone Number : 815-568-9900
Fax Number : 815-568-9901
Provider Business Practice Location Address
First Line : 111 N STATE ST
Second Line :
City : MARENGO
State : IL
Zip : 60152-2217
Country : US
Telephone Number : 815-568-9900
Fax Number : 815-568-9901
Authorized Official
Title or Position : DIRECTOR
Name : DR. MATTHEW BANKORD
Credential : D.C.
Telephone Number : 815-568-9900
Provider Enumeration Date : 03/10/2008
Last Update Date : 05/25/2011

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Directions to “MWB HEALTH SERVICES INC ” Practice Location

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