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Organization
RIDGE CHIROPRACTIC CENTER, LTD.
Active
Organization
RIDGE CHIROPRACTIC CENTER, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARREN CISSELL D.C. (OWNER)
(815) 467-1464
Entity
Organization
Contact information
Practice address
434 W MONDAMIN ST, MINOOKA, IL 60447-9875
(815) 467-1464
Mailing address
434 W. MONDAMIN ST., MINOOKA, IL 60447
(815) 467-1464
(815) 521-0492
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-009977
IL
Other
Enumeration date
05/03/2007
Last updated
09/27/2008
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