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Organization
PREVENTIVE HEALTH & WEIGHT LOSS PC
Active
Organization
PREVENTIVE HEALTH & WEIGHT LOSS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES E KOESTER D.C. (PRESIDENT)
(618) 833-2179
Entity
Organization
Contact information
Practice address
525 N MAIN ST, ANNA, IL 62906-1622
(618) 833-2179
(618) 833-4596
Mailing address
525 N MAIN ST, ANNA, IL 62906-1622
(618) 833-2179
(618) 833-4596
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-010812
IL
Other
Enumeration date
02/23/2009
Last updated
02/23/2009
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