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Organization
MOORE CHIROPRACTIC FAMILY CENTER
Active
Organization
MOORE CHIROPRACTIC FAMILY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRANCE WESLEY MOORE DC (CHIROPRACTOR)
(217) 443-2400
Entity
Organization
Contact information
Practice address
425 N GILBERT ST, DANVILLE, IL 61832-5633
(217) 443-2400
(217) 443-4199
Mailing address
425 N GILBERT ST, PO BOX 495, DANVILLE, IL 61832-5633
(217) 443-2400
(217) 443-4199
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38003799
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38003799
—
IL
01
—
9215161
BLUECROSSBLUESHIELD OF IL
IL
Enumeration date
01/02/2008
Last updated
01/02/2008
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