Taylorville Chiropractic Clinic Ltd.

NPI 1063491389 - Chiropractor - 111N00000X

NPI Details
NPI 1063491389
Enumeration Date 01/13/2006
Last Updated 07/22/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name PHILIP S PHILIP
Position PRESIDENT OF CORPORATION
Phone (618) 931-2050
Fax (314) 895-5040
Practice Location
2339 PONTOON ROAD
GRANITE CITY IL, 62040, US
Phone (618) 931-2050
Fax (314) 895-5040
Business Location
2339 PONTOON ROAD
GRANITE CITY IL, 62040, US
Phone (618) 931-2050
Fax (314) 895-5040
Toxanomy
Taxonomy Code 111N00000X
License State Illinois
License Number 038006559
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According to our database, Taylorville Chiropractic Clinic Ltd. NPI is 1063491389, taxonomy code is 111N00000X and license number is 038006559, license state is located at Illinois. Taylorville Chiropractic Clinic Ltd. physically located at 2339 Pontoon Road, Granite City IL, 62040. NPI Number 1033115704 has the healthcare provider type.

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1063491389 NPI number is provided on an as is basis without warranty of any kind. 1063491389 is maintained by the National Plan & Provider Enumeration System. The contents of Taylorville Chiropractic Clinic Ltd. are for informational purposes only.