Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 38007468 | IL |
NPI | 1003837550 |
---|---|
Provider Name | Vincent Joseph Hope |
First Address | Poplar Grove, IL 61065-7829 |
Second Address | Beloit, WI 53511-6156 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2006 |
Last Update Date | 09/02/2022 |