Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 038005783 | IL |
NPI | 1013006725 |
---|---|
Provider Name | Mr. John Morley Honey |
First Address | Geneva, IL 60134-2784 |
Second Address | Geneva, IL 60134-2784 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/10/2006 |
Last Update Date | 15/10/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
4532057 | BCBS PPO (01) | IL |