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Organization
SELVIDGE CHIROPRACTIC
Active
Organization
SELVIDGE CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM SELVIDGE D.C. (DOCTOR)
(217) 235-4664
Entity
Organization
Contact information
Practice address
608 BROADWAY AVE, MATTOON, IL 61938-4321
(217) 235-4664
Mailing address
608 BROADWAY AVE, MATTOON, IL 61938-4321
(217) 235-4664
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038008622
IL
Other
Enumeration date
10/13/2016
Last updated
10/13/2016
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