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Organization
REVERMANN CHIROPRACTIC P.C.
Active
Organization
REVERMANN CHIROPRACTIC P.C.
Active
Other names
Revermann Chiropractic and Spinal Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAIG ALAN REVERMANN D.C. (PRESIDENT)
(618) 526-4700
Entity
Organization
Contact information
Practice address
397 N PLUM ST, BREESE, IL 62230-1528
(618) 526-4134
Mailing address
397 N PLUM ST, BREESE, IL 62230-1528
(618) 526-4134
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1710984042
INDIVIDUAL NPI FOR CRAIG
—
Enumeration date
09/15/2006
Last updated
08/22/2020
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