Organization Name: | WILLIAM VOGDS DC LTD |
NPI Number: | 1003163312 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WILLIAM JOHN VOGDS (OWNER/) |
Mailing Address: | 25w330 Geneva Rd Carol Stream |
State: | IL US |
Postal Code: | 601882328 |
Phone Number: | 6306051741 |
Fax Number: | |
NPI Enumeration Date: | 08/07/2012 |
NPI Last Update Date: | 08/07/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |