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Organization
STAUNTON CHIROPRACTIC CLINIC, INC.
Active
Organization
STAUNTON CHIROPRACTIC CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY D ROLLER D.C. (OWNER)
(618) 635-3200
Entity
Organization
Contact information
Practice address
426 W PEARL ST, STAUNTON, IL 62088-1313
(618) 635-3200
(618) 635-5445
Mailing address
426 W PEARL ST, STAUNTON, IL 62088-1313
(618) 635-3200
(618) 635-5445
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38-009779
IL
Other
Enumeration date
06/11/2007
Last updated
06/21/2013
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