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Organization
OSWEGO FAMILY CHIROPRACTIC CENTER, P.C.
Active
Organization
OSWEGO FAMILY CHIROPRACTIC CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TARA L WORRON D.C. (PRESIDENT)
(630) 554-9323
Entity
Organization
Contact information
Practice address
1114 DOUGLAS RD, OSWEGO, IL 60543-9040
(630) 554-9323
(630) 554-9328
Mailing address
1114 DOUGLAS RD, OSWEGO, IL 60543-9040
(630) 554-9323
(630) 554-9328
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38008826
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1902804255
NPI INDIVIDUAL
IL
Enumeration date
03/13/2007
Last updated
08/22/2020
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