# JOHNSON CHIROPRACTIC, SC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275974545
- **Authorized official:** DR. JOSHUA L JOHNSON D.C. (OWNER/CHIROPRACTOR)
- **Authorized official phone:** (309) 808-1123

## Contact information

- **Practice address:** 310 SUSAN DR, SUITE 2, NORMAL, IL 61761-6246
- **Practice address phone:** (309) 808-1123
- **Practice address fax:** (309) 808-1516
- **Mailing address:** 310 SUSAN DR, SUITE 2, NORMAL, IL 61761-6246
- **Mailing address phone:** (309) 808-1123
- **Mailing address fax:** (309) 808-1516

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 038.011514 | IL | Yes |

## Other

- **Enumeration date:** 07/15/2013
- **Last updated:** 07/15/2013