Elm Street Medical Center Ltd

NPI #1164645008 in Mchenry, Illinois

Provider Information

NPI Number: 1164645008
Entity Type: Organization
Organization Name: Elm Street Medical Center Ltd
Primary Specialty: Chiropractor
Enumeration Date: Apr 10, 2007
Last Updated: Aug 21, 2013

Practice Location

Address: 4921 W ELM ST
Address 2: SUITE A
City: Mchenry
State: Illinois
ZIP Code: 60050-4020
Phone: (815) 344-1025

Authorized Official

Name: DR. KENNETH T. REISER, D.C.
Title: OWNER
Phone: (815) 344-1025

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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