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Organization
ALLIED HEALTH CHIROPRACTIC CENTERS OF IL, LLC
Active
Organization
ALLIED HEALTH CHIROPRACTIC CENTERS OF IL, LLC
Active
Other names
Allied Health Chiropractic Centers
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT D BAUTCH DC (CEO)
(715) 848-2526
Entity
Organization
Contact information
Practice address
601 S 32ND AVE, WAUSAU, WI 54401-3958
(715) 848-2526
Mailing address
601 S 32ND AVE, WAUSAU, WI 54401-3958
(715) 848-2526
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07232019
BLUE CROSS OF IL
IL
01
—
CK6783
RAILROAD MEDICARE
IL
01
—
CK7346
RAILROAD MEDICARE
IL
Enumeration date
05/25/2006
Last updated
01/05/2011
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