# ACUPUNCTURE & CHIROPRACTIC CENTER

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

## Provider details

- **NPI number:** 1336417724
- **Authorized official:** DR. LOUIS T DISTASIO D.C. L.AC. (OWNER)
- **Authorized official phone:** (217) 544-8118

## Contact information

- **Practice address:** 716 S 2ND ST, SPRINGFIELD, IL 62704-2516
- **Practice address phone:** (217) 544-8118
- **Mailing address:** 716 S 2ND ST, SPRINGFIELD, IL 62704-2516

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | 038003935 | IL | Yes |
| 261QM1300X | Multi-Specialty Clinic/Center | 198000025 | IL | — |

## Other

- **Enumeration date:** 12/13/2011
- **Last updated:** 12/13/2011