is a Chiropractor in Granite City, Illinois. practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for is 1841457926. The last update date is .
's current location address is 2013 Johnson Road, Granite City, Illinois. You can contact this provider via phone number 6189312050 and fax number 6189312048. The mailing address for is 2013 Johnson Road, Granite City, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 2013 Johnson Road, Granite City, Illinois |
| Phone Number | 6189312050 |
| Fax Number | 6189312048 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1841457926 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 2013 Johnson Road |
|---|---|
| City | Granite City |
| State | Illinois (IL) |
| Post Code | 62040 |
| Phone Number | 6189312050 |
| Fax Number | 6189312048 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 38011161 |
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Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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