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Organization
STREET CHIROPRACTIC ASSOCIATES, CTD.
Active
Organization
STREET CHIROPRACTIC ASSOCIATES, CTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY ROE STREET D.C. (PRESIDENT)
(618) 395-3800
Entity
Organization
Contact information
Practice address
400 S WEST ST, OLNEY, IL 62450-1217
(618) 395-3162
(618) 395-8111
Mailing address
400 S WEST ST, OLNEY, IL 62450-1217
(618) 395-3162
(618) 395-8111
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
060-003323
IL
Other
Enumeration date
04/13/2007
Last updated
09/05/2012
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