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Organization
WALTON CS-XVI PC
Active
Organization
WALTON CS-XVI PC
Active
Other names
Primary Care Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES JASON CARLIN DC (OWNER)
(309) 263-5698
Entity
Organization
Contact information
Practice address
831 W JACKSON PLAZA, MORTON, IL 61550-1569
(309) 263-5698
(309) 263-5697
Mailing address
831 W JACKSON PLAZA, MORTON, IL 61550-1569
(309) 263-5698
(309) 263-5698
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038.012090
IL
Other
Enumeration date
09/20/2006
Last updated
06/08/2012
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