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Organization
TAYLORVILLE CHIROPRACTIC CLINIC LTD.
Active
Organization
TAYLORVILLE CHIROPRACTIC CLINIC LTD.
Active
Parent organization
TAYLORVILLE CHIROPRACTIC CLINIC LTD.
Other names
Spinal Care Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
TAYLORVILLE CHIROPRACTIC CLINIC LTD.
Authorized official
DR. PHILIP S DUDAK DC (PRESIDENT OF CORPORATION)
(618) 931-2050
Entity
Organization
Contact information
Practice address
2339 PONTOON ROAD, GRANITE CITY, IL 62040
(618) 931-2050
(314) 895-5040
Mailing address
2339 PONTOON ROAD, GRANITE CITY, IL 62040
(618) 931-2050
(314) 895-5040
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038006559
IL
Other
Enumeration date
01/13/2006
Last updated
07/22/2008
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