# TEEL CHIROPRACTIC CLINIC, LTD.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649583600
- **Authorized official:** DR. JULIE SUZANNE TEEL D.C. (PRESIDENT)
- **Authorized official phone:** (618) 439-7171

## Contact information

- **Practice address:** 509 W MAIN ST, BENTON, IL 62812-1328
- **Practice address phone:** (618) 439-7171
- **Practice address fax:** (618) 439-6151
- **Mailing address:** 509 W MAIN ST, BENTON, IL 62812-1328
- **Mailing address phone:** (618) 439-7171
- **Mailing address fax:** (618) 439-6151

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 038009609 | IL | Yes |

## Other

- **Enumeration date:** 07/20/2010
- **Last updated:** 07/20/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 226906 | GHP | — |
| 01 | — | 2832008 | BLUE CROSS BLUE SHIELD | IL |
| 01 | — | 626640 | HEALTH LINK | — |
| 01 | — | 730179 | CIGNA | — |