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Organization

WALNUT CHIROPRACTIC AND ACUPUNCTURE, SC

Active
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Organization

WALNUT CHIROPRACTIC AND ACUPUNCTURE, SC

Active
Parent organization
WALNUT CHIROPRACTIC AND ACUPUNCTURE, SC
Other names
Advanced Chiropractic and Acupuncture Centre
Organization subpart
Yes

Provider details

NPI number
Legal business name
WALNUT CHIROPRACTIC AND ACUPUNCTURE, SC
Authorized official
DR. ROBERT ALLEN DYER DC (PRESIDENT)
(815) 544-3894
Entity
Organization

Contact information

Practice address
860 BIESTER DR, SUITE 103, BELVIDERE, IL 61008-4053
(815) 544-3894
(815) 547-3968
Mailing address
887 WHITE OAKS DR, DIXON, IL 61021-9057
(815) 652-3551

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038007076
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05207617
BLUECROSS/BLUESHIELD
IL
Enumeration date
03/04/2008
Last updated
01/13/2010
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