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Organization
GARY CHIROPRACTIC OFFICES PC
Active
Organization
GARY CHIROPRACTIC OFFICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD J GARY DC (CHIROPRACTIC PHYSICIAN)
(217) 324-6424
Entity
Organization
Contact information
Practice address
201 N JACKSON, LITHFIELD, IL 62056-2009
(217) 324-6424
(217) 324-6424
Mailing address
201 N JACKSON, LITHFIELD, IL 62056-2009
(217) 324-6424
(217) 324-6424
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038003368
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38003368
—
IL
Enumeration date
03/25/2008
Last updated
05/23/2012
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