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Organization
VERCELLINO PURCHASING CO
Active
Organization
VERCELLINO PURCHASING CO
Active
Other names
Decatur Back and Neck Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER WILLIAM VERCELLINO DC (CHIROPRACTOR)
(217) 520-4433
Entity
Organization
Contact information
Practice address
3350 N WATER ST STE A, DECATUR, IL 62526-2353
(217) 877-2404
(217) 877-2522
Mailing address
3350 N WATER ST STE A, DECATUR, IL 62526-2353
(217) 877-2404
(217) 877-2522
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
03/05/2019
Last updated
03/05/2019
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