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Organization
ANDALUSIA FAMILY CHIROPRACTIC PC
Active
Organization
ANDALUSIA FAMILY CHIROPRACTIC PC
Active
Other names
Andalusia Family Chiropractic PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS BISBY DC (PRESIDENT)
(309) 798-5555
Entity
Organization
Contact information
Practice address
326 6TH AVE WEST, SUITE 1, ANDALUSIA, IL 61232-0555
(309) 798-5555
(309) 798-5205
Mailing address
326 6TH AVE WEST SUITE 1, PO BOX 555, ANDALUSIA, IL 61232-0555
(309) 798-5555
(309) 798-5205
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
038-010216
IL
111N00000X
Chiropractor
Primary
060-009615
IL
Other
Enumeration date
12/07/2007
Last updated
02/11/2010
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