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Organization
LILES CHIROPRACTIC CLINIC LTD.
Active
Organization
LILES CHIROPRACTIC CLINIC LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES T LILES D.C. (OWNER)
(815) 369-4974
Entity
Organization
Contact information
Practice address
238 W MAIN ST., LENA, IL 61048-9770
(815) 369-4974
(815) 369-4975
Mailing address
PO BOX 424, LENA, IL 61048-0424
(815) 369-4974
(815) 369-4975
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01582005
BLUE CROSS & BLUE SHIELD
IL
Enumeration date
11/20/2006
Last updated
08/22/2020
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