Ideal Health and Weight Loss, Inc.
Organization Active NPI Chiropractor · O'Fallon, IL
NPI 1285874875 · NPPES record last updated Dec 5, 2014
Key facts
- NPI
- 1285874875
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 038008443 (IL)
- Legal business name
- IDEAL HEALTH AND WEIGHT LOSS, INC.
- Practice address
- 810 West Hwy 50
O'Fallon, IL 62269-6636 - Phone
- (618) 406-9920
- NPI assigned
- Feb 23, 2009
- Organization subpart
- No
Authorized official
- Name
- Mr. Jason Christopher Walker, DC
- Title
- Owner
- Phone
- (618) 406-9920
Practitioners 1
National Provider Directory
Locations
2 Eagle Ctr
#2
O Fallon, IL 62269
Phone (800) 393-1064
810 W Highway 50
O Fallon, IL 62269
Phone (618) 406-9920
4933 Benchmark Centre Dr
Ste C
Swansea, IL 62226
Phone (618) 406-9920
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 038008443 | IL | Yes |
Addresses
Primary practice location
810 West Hwy 50
O'Fallon, IL 62269-6636
Mailing address
810 West Hwy 50
O'Fallon, IL 62269-6636
Phone (618) 406-9920
Other providers in O'Fallon, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 5, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.