NPI 1205600863

Haven Chiropractic Care, PC

Organisation Clinic/Center O Fallon, IL

Practice location

Address: 102 Willow Dr STE a, O Fallon, IL 62269-1073
Phone: (618) 799-0690

Authorised official

Name: Randi Tyler
Title: President
Phone: (618) 799-0690

Registered specialties

Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261Q00000X

Other Clinic/Center providers in Illinois →

Registry record

NPI: 1205600863
Entity type: Organization
NPI issued: 14 Nov 2023
Record last updated: 14 Nov 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.