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Organization
VANCE CHIROPRACTIC AND WELLNESS
Active
Organization
VANCE CHIROPRACTIC AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD L. VANCE D.C. (OWNER)
(217) 357-2133
Entity
Organization
Contact information
Practice address
524 BUCHANAN ST, CARTHAGE, IL 62321-1307
(217) 357-2133
Mailing address
524 BUCHANAN ST, CARTHAGE, IL 62321-1307
(217) 357-2133
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038003180
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IL4172
MEDICARE PTAN #
IL
Enumeration date
06/28/2012
Last updated
06/28/2012
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