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Organization
BUSHNELL CHIROPRACTIC CENTER SC
Active
Organization
BUSHNELL CHIROPRACTIC CENTER SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTOPHER WADE WAKEFIELD DC (OWNER)
(309) 772-2317
Entity
Organization
Contact information
Practice address
448 COLE ST, BUSHNELL, IL 61422-1540
(309) 772-2317
(309) 772-2317
Mailing address
448 COLE ST, BUSHNELL, IL 61422-1540
(309) 772-2317
(309) 772-2317
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
04/02/2007
Last updated
10/17/2007
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