# FRYE CHIROPRACTIC AND LASER CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Frye Functional Health Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407043714
- **Authorized official:** DR. BROOKE N FRYE D.C. (CHIROPRACTOR/OWNER)
- **Authorized official phone:** (618) 692-1800

## Contact information

- **Practice address:** 3809 S STATE ROUTE 159, GLEN CARBON, IL 62034-3020
- **Practice address phone:** (618) 692-1800
- **Practice address fax:** (618) 205-8664
- **Mailing address:** 3809 S STATE ROUTE 159, GLEN CARBON, IL 62034-3020

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 38011010 | IL | Yes |

## Other

- **Enumeration date:** 10/01/2007
- **Last updated:** 10/28/2024