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Organization
BUESCHER CHIROPRACTIC OFFICES LTD
Active
Organization
BUESCHER CHIROPRACTIC OFFICES LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLARK M BUESCHER DC (OWNER)
(309) 686-8400
Entity
Organization
Contact information
Practice address
4224 N BRANDYWINE DR, PEORIA, IL 61614-5507
(309) 686-8400
Mailing address
4224 N BRANDYWINE DR, PEORIA, IL 61614-5507
(309) 686-8400
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
268010
MEDICARE GROUP
IL
Enumeration date
01/08/2007
Last updated
06/21/2018
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