# MIDWEST CHIROPRACTIC CENTER P.C.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MIDWEST CHIROPRACTIC CENTER P.C.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1700104064
- **Legal business name:** MIDWEST CHIROPRACTIC CENTER P.C.
- **Authorized official:** DR. DONALD WILLIAM HANKINS D.C. (PRESIDENT)
- **Authorized official phone:** (309) 829-1010

## Contact information

- **Practice address:** 1210 TOWANDA AVE, SUITE 16, BLOOMINGTON, IL 61701-3454
- **Practice address phone:** (309) 829-1010
- **Practice address fax:** (309) 829-0142
- **Mailing address:** 1210 TOWANDA AVE, SUITE 16, BLOOMINGTON, IL 61701-3454
- **Mailing address phone:** (309) 829-1010
- **Mailing address fax:** (309) 829-0142

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | 038003573 | IL | Yes |

## Other

- **Enumeration date:** 05/12/2010
- **Last updated:** 05/12/2010