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Organization
FORWARD LIVING LTD
Active
Organization
FORWARD LIVING LTD
Active
Other names
Forward Living Family Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES BRENDAN PARISH D.C. (PRESIDENT)
(309) 664-0102
Entity
Organization
Contact information
Practice address
220 N ELDORADO RD, SUITE B, BLOOMINGTON, IL 61704-7703
(309) 664-0102
(309) 664-0112
Mailing address
220 N ELDORADO RD, SUITE B, BLOOMINGTON, IL 61704-7703
(309) 664-0102
(309) 664-0112
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038011492
IL
Other
Enumeration date
08/13/2009
Last updated
10/01/2009
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