Provider Demographics
NPI:1063200830
Name:WILKINSON CLINIC OF CHIROPRACTIC PLLC
Entity type:Organization
Organization Name:WILKINSON CLINIC OF CHIROPRACTIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PHILLIP
Authorized Official - Middle Name:
Authorized Official - Last Name:WILKINSON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:815-912-5350
Mailing Address - Street 1:115 E WAVERLY ST
Mailing Address - Street 2:
Mailing Address - City:MORRIS
Mailing Address - State:IL
Mailing Address - Zip Code:60450-1419
Mailing Address - Country:US
Mailing Address - Phone:815-942-5350
Mailing Address - Fax:815-942-5414
Practice Address - Street 1:115 E WAVERLY ST
Practice Address - Street 2:
Practice Address - City:MORRIS
Practice Address - State:IL
Practice Address - Zip Code:60450-1419
Practice Address - Country:US
Practice Address - Phone:815-942-5350
Practice Address - Fax:815-942-5414
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-30
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty