Shorewood Chiropractic Clinic

NPI #1649444688 in Shorewood, Illinois

Provider Information

NPI Number: 1649444688
Entity Type: Organization
Organization Name: Shorewood Chiropractic Clinic
Primary Specialty: Chiropractor
Enumeration Date: Apr 22, 2008
Last Updated: Apr 22, 2008

Practice Location

Address: 102 W JEFFERSON ST
Address 2: UNIT 1
City: Shorewood
State: Illinois
ZIP Code: 60404-9502
Phone: (815) 744-9201

Authorized Official

Name: DR. NOMON THANADABOUTH, B.S., D.C.
Title: OWNER
Phone: (815) 744-9201

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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