DR. Shaeli Waggoner, D.C.

NPI #1194004689 in Woodridge, Illinois

Provider Information

NPI Number: 1194004689
Entity Type: Individual
Name: DR. Shaeli Waggoner, D.C.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: Aug 15, 2011
Last Updated: Aug 15, 2011

Practice Location

Address: 6830 JUNEBERRY AVE
City: Woodridge
State: Illinois
ZIP Code: 60517-1707
Phone: (563) 320-5670

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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