Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. NATHAN EVAN WIEDRICH, DC
ActiveDR. NATHAN EVAN WIEDRICH, DC is a Rehabilitation (Chiropractor) healthcare provider located in LINDENHURST, Illinois. NPI 1467572628 is currently active in the NPPES registry. Verify at CMS.
Rehabilitation (Chiropractor) · LINDENHURST, IL
Registration Details
- NPI Number
- 1467572628
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 30, 2007 (19.370841915555 yrs)
- Last Updated
- Mar 17, 2018
- Licenses
-
3342 (SC)3801096 (IL)038.010896 (IL)
Practice Information
- Address
-
2031 E GRAND AVE STE 301LINDENHURST, IL, 600469094Browse IL providers · Browse ZIP 60046
- Phone
- 8439060090
- Fax
- 8439060090
- Primary Specialty
-
Rehabilitation (Chiropractor)
111NR0400X
- Additional Specialty
- Chiropractor
- Additional Specialty
- Rehabilitation (Chiropractor)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.