Search › Illinois › 111N00000X
Keith Walder, DC
NPI 1659102382 · on the registry since 2024 · sole proprietor
Practice
- Address
- 1815 S Main St
Eureka, IL 61530 - Phone
- (309) 265-0200
- Fax
- (309) 205-3896
- Organisation at this address
- Modern Movement Pllc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-08-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois