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Organization
TRI-STATE CLINIC OF CHIROPRACTIC, PC
Active
Organization
TRI-STATE CLINIC OF CHIROPRACTIC, PC
Active
Other names
Kennard Clinic of Chiropractic, PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TARA ELLEN HORRALL D.C. (PRESIDENT)
(618) 262-2222
Entity
Organization
Contact information
Practice address
229 W 2ND ST, MOUNT CARMEL, IL 62863-1608
(618) 262-2222
(618) 262-2224
Mailing address
229 W 2ND ST, MOUNT CARMEL, IL 62863-1608
(618) 262-2222
(618) 262-2224
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
060009274
IL
Other
Enumeration date
05/11/2006
Last updated
07/29/2015
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