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Organization
PAGE FAMILY CHIROPRACTIC CLINIC INC
Active
Organization
PAGE FAMILY CHIROPRACTIC CLINIC INC
Active
Other names
Back Pain Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY DEAN PAGE JR. CHIROPRACTOR (PRESIDENT CHIROPRACTOR)
(217) 446-7200
Entity
Organization
Contact information
Practice address
2700 N JACKSON, DANVILLE, IL 61832
(217) 446-7200
(217) 446-0090
Mailing address
2700 N JACKSON, DANVILLE, IL 61832
(217) 446-7200
(217) 446-0090
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038005681
IL
111N00000X
Chiropractor
038009157
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010248
HEALTH ALLIANCE DR PAGE
—
01
—
063656
HLTH ALLIANCE DR RITCHIE
—
01
—
177908
PERSONAL CARE DR PAGE
—
01
—
177910
PERSONAL CARE DR RITCHIE
—
01
—
9215163
BLUE CROSS BLUE SHIELD
—
Enumeration date
08/31/2006
Last updated
12/27/2011
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