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Dr. Richard Van Til, DC
Chiropractor in Bradley, Illinois
NPI 1730184862

Richard Van Til is a Chiropractor based in Bradley, IL. Richard Van Til practices in Bradley, IL and has the professional credentials of DC. The NPI Number for Richard Van Til is 1730184862 and holds a License No. 038-010127 (Illinois).

The current practice location address for Richard Van Til is 404 S Kennedy Dr, Bradley, IL and can be reached out via phone at 815-929-9296 and via fax at 815-929-9667.

Location: 404 S Kennedy Dr, Bradley, IL, 60915-2137
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730184862
Provider Name
Richard Van Til
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
404 S Kennedy Dr, Bradley, IL, 60915-2137
Phone Number
815-929-9296
Fax Number
815-929-9667
Provider Enumeration Date
06/16/2005
Last Update Date
05/18/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4632052 01 IL BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
404 S Kennedy Dr
City
Bradley
State
Illinois
Zip
60915-2137
Phone Number
815-929-9296
Fax Number
815-929-9667
person
Provider Business Mailing Address Details
Address
404 S Kennedy Dr
City
Bradley
State
Illinois
Zip
60915-2137
Phone Number
815-929-9296
Fax Number
815-929-9667
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
038-010127 (Illinois)
Definition
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.
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