Kaleb Joe Wilson, DC

Chiropractor · Normal, IL

Individual Active NPI

NPI number 1336817097

Practice location

1713 Fort Jesse Rd Ste D
Normal, IL 61761-6235
Phone
(309) 862-2225

Open in Google Maps

NPI record

NPI
1336817097
Entity type
Individual (Type 1)
Enumeration date
August 30, 2021
Last updated
August 30, 2021
Certified
August 23, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Chiropractor Primary 111N00000X 038013751 IL

About Dr. Wilson

Kaleb Joe Wilson, DC is a healthcare provider registered in the NPI registry with the primary taxonomy Chiropractor (code 111N00000X). The practice location is 1713 Fort Jesse Rd Ste D, Normal, IL 61761-6235. The NPI number 1336817097 was assigned on August 30, 2021 and the record was last updated on August 30, 2021.

Dr. Wilson lists a license in the registry: #038013751 (IL) for Chiropractor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kaleb Joe Wilson, DC?

The NPI number is 1336817097.

What is the phone number of Dr. Wilson?

The phone number listed for the practice location is (309) 862-2225.

Where is Dr. Wilson located?

1713 Fort Jesse Rd Ste D, Normal, IL 61761-6235.

What is the taxonomy code for Dr. Wilson?

The primary taxonomy code is 111N00000X – Chiropractor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Chiropractor providers in Normal

All Chiropractor providers in Normal, IL →