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Organization
NECK & BACK CHIROPRACTIC INC.
Active
Organization
NECK & BACK CHIROPRACTIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAWN M IRVINE CHIROPRACTOR (OWNER DOCTOR)
(217) 222-6500
Entity
Organization
Contact information
Practice address
1024 MAINE ST, QUINCY, IL 62301
(217) 222-6500
(217) 222-5688
Mailing address
1024 MAINE ST, QUINCY, IL 62301
(217) 222-6500
(217) 222-5688
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038006381
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038006381
—
IL
Enumeration date
08/09/2006
Last updated
05/12/2008
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