Spine Institute of Waukegan

NPI #1366654501 in Waukegan, Illinois

Provider Information

NPI Number: 1366654501
Entity Type: Organization
Organization Name: Spine Institute of Waukegan
Primary Specialty: Chiropractor - Neurology
Enumeration Date: May 3, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 2634 GRAND AVE SUITE 100
City: Waukegan
State: Illinois
ZIP Code: 60085-2458
Phone: (847) 775-0800

Authorized Official

Name: KELLY G WORTH, DC
Title: CLINIC DIRECTOR
Phone: (847) 775-0800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor - Neurology — Neurology	111NN0400X	Primary

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