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Organization
FOX RIVER CHIROPRACTIC
Active
Organization
FOX RIVER CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN STACHURA (OWNER/CHIROPRACTOR)
(630) 862-6356
Entity
Organization
Contact information
Practice address
1543 S RANDALL RD, ALGONQUIN, IL 60102-5933
(630) 862-6356
Mailing address
1543 S RANDALL RD, ALGONQUIN, IL 60102-5933
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8489
INSURANCE
—
05
—
8489
—
IL
Enumeration date
07/30/2020
Last updated
07/30/2020
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