Provider Demographics
NPI:1871770339
Name:OSLAY PREVENTION WORKSHOPS LLC
Entity type:Organization
Organization Name:OSLAY PREVENTION WORKSHOPS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PEGGY
Authorized Official - Middle Name:A
Authorized Official - Last Name:OSLAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:618-922-8953
Mailing Address - Street 1:325 DOGWOOD LN
Mailing Address - Street 2:SUITE B
Mailing Address - City:OZARK
Mailing Address - State:IL
Mailing Address - Zip Code:62972-1051
Mailing Address - Country:US
Mailing Address - Phone:618-922-8953
Mailing Address - Fax:
Practice Address - Street 1:325 DOGWOOD LN
Practice Address - Street 2:SUITE B
Practice Address - City:OZARK
Practice Address - State:IL
Practice Address - Zip Code:62972-1051
Practice Address - Country:US
Practice Address - Phone:618-922-8953
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-28
Last Update Date:2008-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL111NX0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NX0100XChiropractic ProvidersChiropractorOccupational HealthGroup - Single Specialty