NPI 1346348802

Walton Cs-Xvi PC

Organisation Chiropractor Morton, IL

Practice location

Address: 831 W Jackson Plaza, Morton, IL 61550-1569
Phone: (309) 263-5698
Fax: (309) 263-5697

Authorised official

Name: Charles Jason Carlin
Title: Owner
Phone: (309) 263-5698

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence 038.012090 (IL)

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Registry record

NPI: 1346348802
Entity type: Organization
NPI issued: 20 Sep 2006
Record last updated: 8 Jun 2012

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.