Modern Movement Pllc

NPI #1275366510 in Eureka, Illinois

Provider Information

NPI Number: 1275366510
Entity Type: Organization
Organization Name: Modern Movement Pllc
Primary Specialty: Chiropractor
Enumeration Date: Aug 22, 2024
Last Updated: Apr 7, 2025

Practice Location

Address: 1815 S MAIN ST
City: Eureka
State: Illinois
ZIP Code: 61530-1707
Phone: (309) 265-0200

Authorized Official

Name: KEITH W WALDER, DC
Title: OWNER
Phone: (309) 265-0200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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