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Organization
WEISS WELLNESS & CHIROPRACTIC, LTD.
Active
Organization
WEISS WELLNESS & CHIROPRACTIC, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY BEACH D.C. (PRESIDENT)
(309) 828-3415
Entity
Organization
Contact information
Practice address
409 E FRONT ST, BLOOMINGTON, IL 61701-5309
(309) 828-3415
(309) 828-2665
Mailing address
409 E FRONT ST, BLOOMINGTON, IL 61701-5309
(309) 828-3415
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038005425
IL
111NS0005X
Sports Physician Chiropractor
038005425
IL
Other
Enumeration date
12/30/2013
Last updated
12/30/2013
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