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Organization
GLAS CHIROPRACTIC S.C.
Active
Organization
GLAS CHIROPRACTIC S.C.
Active
Other names
Glas Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRET BYRON GLAS D.C. (PRINCIPAL OFFICER)
(309) 453-7607
Entity
Organization
Contact information
Practice address
1415 W RIVERVIEW DR, EAST PEORIA, IL 61611-9647
(309) 453-7607
Mailing address
1415 W RIVERVIEW DR, EAST PEORIA, IL 61611-9647
(309) 453-7607
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
042619123
IL
Other
Enumeration date
09/05/2007
Last updated
06/25/2012
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