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Organization
MIDWEST CLINIC OF CHIROPRACTIC, P.C.
Active
Organization
MIDWEST CLINIC OF CHIROPRACTIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK LESLIE HUNTSMAN D.C. (OWNER)
(815) 741-3939
Entity
Organization
Contact information
Practice address
2206 WEBER RD, CREST HILL, IL 60403-0928
(815) 741-3939
(815) 741-3949
Mailing address
2206 WEBER RD, CREST HILL, IL 60403-0928
(815) 741-3939
(815) 741-3949
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038010492
IL
Other
Enumeration date
11/24/2009
Last updated
11/24/2009
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