MEDICARE: GARRETT LEE WEBB DC

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	038.014197	IL

General Provider Information

NPI Number	:	1568063279
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GARRETT LEE WEBB DC

Provider Business Mailing Address
First Line	:	105 S LAFAYETTE ST
Second Line	:
City	:	BYRON
State	:	IL
Zip	:	61010-8970
Country	:	US
Telephone Number	:	815-234-3021
Fax Number	:

Provider Business Practice Location Address
First Line	:	105 S LAFAYETTE ST
Second Line	:
City	:	BYRON
State	:	IL
Zip	:	61010-8970
Country	:	US
Telephone Number	:	815-234-3021
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/09/2020
Last Update Date	:	01/21/2026

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Directions to “ GARRETT LEE WEBB DC” Practice Location

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