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Organization
SPINAL CARE CENTER
Active
Organization
SPINAL CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOND L JAREK JR. D.C. (OWNER/PRACTIONER)
(815) 654-2030
Entity
Organization
Contact information
Practice address
6270 E RIVERSIDE BLVD, LOVES PARK, IL 61111-4418
(815) 654-2030
(815) 654-8671
Mailing address
6270 E RIVERSIDE BLVD, LOVES PARK, IL 61111-4418
(815) 654-2030
(815) 654-8671
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038003702
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038003702
—
IL
Enumeration date
10/23/2015
Last updated
10/23/2015
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