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Organization
WYATT CHIROPRACTIC CLINIC, LTD
Active
Organization
WYATT CHIROPRACTIC CLINIC, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD JAY GREENBERG D.C. (CHIEF EXECUTIVE OFFICER)
(618) 392-5511
Entity
Organization
Contact information
Practice address
731 S WEST ST, OLNEY, IL 62450
(618) 392-5511
Mailing address
731 S WEST ST, PO BOX 96, OLNEY, IL 62450
(618) 392-5511
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038004748
IL
Other
Enumeration date
05/15/2007
Last updated
10/13/2011
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