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Organization

SCOTT COUNTY CHIROPRACTIC, LTD.

Active
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Organization

SCOTT COUNTY CHIROPRACTIC, LTD.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GARY J T GARCIA DC (DOCTOR/PRESIDENT)
(217) 742-5702
Entity
Organization

Contact information

Practice address
38 E CHERRY ST, WINCHESTER, IL 62694-1002
(217) 742-5702
(217) 742-5661
Mailing address
38 E CHERRY ST, WINCHESTER, IL 62694-1002
(217) 742-5702
(217) 742-5661

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-010006
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08632001
BCBS
IL
01
—
DN1676
RR MEDICARE
IL
Enumeration date
11/27/2007
Last updated
01/23/2017
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