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Organization
MIDTOWN CHIROPRACTIC CLINIC S.C.
Active
Organization
MIDTOWN CHIROPRACTIC CLINIC S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY ROSE SAKALOSKY D.C. (SECRETARY)
(309) 344-4030
Entity
Organization
Contact information
Practice address
444 N HENDERSON ST, GALESBURG, IL 61401-3508
(309) 344-4030
(309) 344-4032
Mailing address
444 N HENDERSON ST, GALESBURG, IL 61401-3508
(309) 344-4030
(309) 344-4032
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DB3897
MEDICARE RAILROAD GROUP #
IL
Enumeration date
02/15/2007
Last updated
08/22/2020
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