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Organization
SHOREWOOD CHIROPRACTIC CLINIC
Active
Organization
SHOREWOOD CHIROPRACTIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NOMON THANADABOUTH B.S., D.C. (OWNER)
(815) 744-9201
Entity
Organization
Contact information
Practice address
102 W JEFFERSON ST, UNIT 1, SHOREWOOD, IL 60404-9502
(815) 744-9201
(815) 744-9401
Mailing address
102 W JEFFERSON ST, UNIT 1, SHOREWOOD, IL 60404-9502
(815) 744-9201
(815) 744-9401
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038009514
IL
Other
Enumeration date
04/22/2008
Last updated
04/22/2008
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