# SPRINGFIELD CHIROPRACTIC CLINIC LTD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Springfield Spinal Rehab
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881727642
- **Authorized official:** DR. TIMOTHY L WENNEBORG D.C. (ADMINISTRATOR)
- **Authorized official phone:** (217) 544-5213

## Contact information

- **Practice address:** 1045 S 2ND ST, SPRINGFIELD, IL 62704-3004
- **Practice address phone:** (217) 544-5213
- **Practice address fax:** (217) 544-8792
- **Mailing address:** 1045 S 2ND ST, SPRINGFIELD, IL 62704-3004
- **Mailing address phone:** (217) 544-5213
- **Mailing address fax:** (217) 544-8792

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NR0400X | Rehabilitation Chiropractor | 042007918 | IL | Yes |

## Other

- **Enumeration date:** 03/13/2007
- **Last updated:** 04/16/2012