Leading Edge Health & Wellness Diagnostic Center

NPI #1043438476 in Morris, Illinois

Provider Information

NPI Number: 1043438476
Entity Type: Organization
Organization Name: Leading Edge Health & Wellness Diagnostic Center
Primary Specialty: Chiropractor
Enumeration Date: Apr 23, 2007
Last Updated: Dec 26, 2008

Practice Location

Address: 1013 LIBERTY ST
City: Morris
State: Illinois
ZIP Code: 60450-1510
Phone: (815) 941-5117

Authorized Official

Name: DR. TERRI JO GILLETTE, DC
Title: PRESIDENT
Phone: (815) 941-5117

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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