# COMMUNITY CHIROPRACTIC CENTER WOODSTOCK SC

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

## Provider details

- **NPI number:** 1336477298
- **Authorized official:** JOHN MERKLING D.C. (CEO)
- **Authorized official phone:** (815) 337-5500

## Contact information

- **Practice address:** 126 S JEFFERSON ST, WOODSTOCK, IL 60098-3438
- **Practice address phone:** (815) 337-5500
- **Practice address fax:** (815) 337-5733
- **Mailing address:** 126 S JEFFERSON ST, WOODSTOCK, IL 60098-3438
- **Mailing address phone:** (815) 337-5500
- **Mailing address fax:** (815) 337-5733

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 038006525 | IL | Yes |

## Other

- **Enumeration date:** 12/03/2009
- **Last updated:** 12/03/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 913860 | MEDICARE PTAN | IL |