Provider Demographics
NPI:1871177030
Name:JOINER, NETHERLAND NIA (DC)
Entity type:Individual
Prefix:DR
First Name:NETHERLAND
Middle Name:NIA
Last Name:JOINER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:NETHERLAND
Other - Middle Name:NIA JOINER
Other - Last Name:PETERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:110 E SCHILLER ST
Mailing Address - Street 2:SUITE 206 A
Mailing Address - City:ELMHURST
Mailing Address - State:IL
Mailing Address - Zip Code:60126
Mailing Address - Country:US
Mailing Address - Phone:630-634-2890
Mailing Address - Fax:
Practice Address - Street 1:110 E SCHILLER ST
Practice Address - Street 2:SUITE 206 A
Practice Address - City:ELMHURST
Practice Address - State:IL
Practice Address - Zip Code:60126
Practice Address - Country:US
Practice Address - Phone:630-634-2890
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-12
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038.013650111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor