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Organization
STEPHEN J MONSON CHIROPRACTIC CLINIC PC
Active
Organization
STEPHEN J MONSON CHIROPRACTIC CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN JOHN MONSON DC (DOCTOR OWNER)
(815) 633-9115
Entity
Organization
Contact information
Practice address
3779 N ALPINE ROAD, ROCKFORD, IL 61114
(815) 633-9115
(815) 633-8745
Mailing address
3779 N ALPINE ROAD, ROCKFORD, IL 61114
(815) 633-9115
(815) 633-8745
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038004077
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
210739
MEDICARE PTAN
—
Enumeration date
08/31/2006
Last updated
05/14/2013
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