# ROSENTHAL CHIROPRACTIC CLINIC

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

## Provider details

- **NPI number:** 1356754592
- **Authorized official:** DR. REBECCA ANN ROSENTHAL D.C. (CHIROPRACTOR)
- **Authorized official phone:** (815) 776-0595

## Contact information

- **Practice address:** 202 SUMMIT ST, GALENA, IL 61036-1636
- **Practice address phone:** (815) 776-0595
- **Practice address fax:** (815) 776-0595
- **Mailing address:** 202 SUMMIT ST, GALENA, IL 61036-1636
- **Mailing address phone:** (815) 776-0595
- **Mailing address fax:** (815) 776-0595

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | 007243 | IA | — |
| 302F00000X | Exclusive Provider Organization | 038011927 | IL | Yes |
| 302F00000X | Exclusive Provider Organization | 4551012 | WI | — |

## Other

- **Enumeration date:** 06/05/2014
- **Last updated:** 06/05/2014