Dr. Connor Lavallie
Neurology Nutrition Pediatric Chiropractor
240 W River Dr
St Charles
, Illinois 60174
Dr. Connor Lavallie
Neurology Nutrition Pediatric Chiropractor
240 W River Dr
St Charles
, Illinois 60174
(331) 442-4081
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About
Features
Specialties
- Neurology
- Nutrition
- Pediatric Chiropractor
Languages spoken
- English
Location
First Address
- Dr. Connor Lavallie
- 240 W River Dr
- St Charles, IL
- Zip : 60174-5535
- Phone : (331) 442-4081
Second Address
- Dr. Connor Lavallie
- 240 W River Dr
- St Charles, IL
- Zip : 60174
- Phone : (331) 442-4081
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NN0400X | Neurology | 038013140 | IL |
| N | 111NN1001X | Nutrition | 038013140 | IL |
| N | 111NP0017X | Pediatric Chiropractor | 038013140 | IL |
National Provider Identifier
| NPI | 1205354503 |
|---|---|
| Provider Name | Dr. Connor Lavallie |
| First Address | St Charles, IL 60174-5535 |
| Second Address | St Charles, IL 60174 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/09/2017 |
| Last Update Date | 12/04/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.