Gill Family Chiropractic

NPI #1720318264 in Delavan, Wisconsin

Provider Information

NPI Number: 1720318264
Entity Type: Organization
Organization Name: Gill Family Chiropractic
Primary Specialty: Chiropractor
Enumeration Date: Jan 6, 2010
Last Updated: Jun 9, 2010

Practice Location

Address: 104 E WALWORTH AVE
Address 2: SUITE 102
City: Delavan
State: Wisconsin
ZIP Code: 53115-1146
Phone: (262) 725-7325

Authorized Official

Name: TARA MARIE GILL, DC
Title: CHIROPRACTOR
Phone: (262) 725-7325

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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