Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175L00000X | Homeopath | 227.013309 | IL |
NPI | 1679950216 |
---|---|
Provider Name | Emily Hilton |
First Address | Pecatonica, IL 61063-9459 |
Second Address | Pecatonica, IL 61063 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2015 |
Last Update Date | 04/05/2015 |