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Organization
MITCHELL FAMILY CHIROPRACTIC PC
Active
Organization
MITCHELL FAMILY CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN LA DON MITCHELL DC (OWNER CLINIC DIRECTOR)
(309) 828-6200
Entity
Organization
Contact information
Practice address
1210 TOWANDA PLAZA, SUITE 17, BLOOMINGTON, IL 61701
(309) 828-6200
(309) 828-6002
Mailing address
1210 TOWANDA PLAZA, SUITE 17, BLOOMINGTON, IL 61701
(309) 828-6200
(309) 828-6002
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5732071
BCBS
—
01
—
DE3260
RR MEDICARE
—
Enumeration date
08/17/2006
Last updated
08/22/2020
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