Provider Demographics
NPI:1679950216
Name:HILTON, EMILY (LMT, NCBTMB)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:HILTON
Suffix:
Gender:F
Credentials:LMT, NCBTMB
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3258 S PECATONICA RD
Mailing Address - Street 2:
Mailing Address - City:PECATONICA
Mailing Address - State:IL
Mailing Address - Zip Code:61063-9459
Mailing Address - Country:US
Mailing Address - Phone:815-281-0902
Mailing Address - Fax:
Practice Address - Street 1:3258 S. PECATONICA RD.
Practice Address - Street 2:
Practice Address - City:PECATONICA
Practice Address - State:IL
Practice Address - Zip Code:61063
Practice Address - Country:US
Practice Address - Phone:815-281-0902
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-04
Last Update Date:2015-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL227.013309175L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175L00000XOther Service ProvidersHomeopath