Margaret Joann Judge, D.C.
Individual provider Active NPI Chiropractor · La Salle, IL
NPI 1730295809 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1730295809
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- Practice address
- 546 US Highway 6
La Salle, IL 61301-9629 - Phone
- (815) 223-2998
- Fax
- (815) 223-2850
- NPI assigned
- Aug 22, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038 006443 | IL | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | IL | Yes |
Addresses
Primary practice location
546 US Highway 6
La Salle, IL 61301-9629
Mailing address
546 US Highway 6
La Salle, IL 61301-9629
Phone (815) 223-2998
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0005032014 | Other | BLUE CROSS/BLUE SHIELD |
Other providers in La Salle, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.