Patrick B. Whitaker, D.c., P.c.

NPI #1104190503 in Rockford, Illinois

Provider Information

NPI Number: 1104190503
Entity Type: Organization
Organization Name: Patrick B. Whitaker, D.c., P.c.
Primary Specialty: Chiropractor
Enumeration Date: Mar 2, 2012
Last Updated: Mar 2, 2012

Practice Location

Address: 129 PHELPS AVE
Address 2: SUITE 316
City: Rockford
State: Illinois
ZIP Code: 61108-2453
Phone: (815) 229-5568

Authorized Official

Name: DR. PATRICK B WHITAKER, D.C.
Title: OWNER
Phone: (815) 229-5568

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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