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Active NPI 1427450220 Organization (Entity Type 2)

Harley Chiropractic, Llc

Chiropractor • Sullivan, IL

About Harley Chiropractic, Llc NPI 1427450220 Summary

Harley Chiropractic, Llc is a verified healthcare organization specializing in Chiropractor operating in Sullivan, IL. Located at 221 N ANDERSON ST, this facility provides patient care and medical services under National Provider Identifier (NPI) 1427450220.

Administrative operations and authorized compliance are overseen by Katherine Harley (Owner).

Facility Location & Contact Primary Location

Facility Address

221 N Anderson St

Sullivan, IL 619511001

Telephone 2177288888

Authorized Official Information

Authorized Contact Name

DR. Katherine Harley , D.C.

Title / Role

Owner

Official Telephone

2172596338

Facility Classifications & Specialties

Chiropractor Primary Taxonomy

NUCC Taxonomy Code: 111N00000X

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
NPI Profile Active September 23, 2014

NPI status registered as active in NPPES database

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Updated Practice Location September 23, 2014

Registered at 221 N ANDERSON ST, SULLIVAN, IL 619511001 (Tel: 2177288888)

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Updated Business Mailing Address September 23, 2014

Registered at 221 N ANDERSON ST, SULLIVAN, IL 619511001 (Tel: 2177288888)

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Organization / Clinic Name Updated September 23, 2014

Operating as HARLEY CHIROPRACTIC, LLC

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 23, 2014

Chiropractor (License #038010592 in IL)

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Initial NPI Registration & Enumeration September 23, 2014

First registered as active Healthcare Organization in NPPES Database.

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NPI Organization Metadata

NPI Number: 1427450220
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: September 23, 2014
Last Update: September 23, 2014

Mailing Address

221 N Anderson St

Sullivan, IL 619511001

Phone: 2177288888

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.