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Organization
ELLIOTT CHIROPRACTIC OFFICE PC
Active
Organization
ELLIOTT CHIROPRACTIC OFFICE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH M ELLIOTT DC (PRESIDENT)
(815) 433-4112
Entity
Organization
Contact information
Practice address
121 E JEFFERSON ST, OTTAWA, IL 61350-5003
(815) 433-4112
(815) 433-5116
Mailing address
121 E JEFFERSON ST, OTTAWA, IL 61350-5003
(815) 433-4112
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038003405
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005082005
BLUE CROSS BLUE SHIELD
IL
01
—
1518928050
NPI INDIVIDUAL
IL
01
—
350128080
MEDICARE RAILROAD
IL
Enumeration date
12/13/2006
Last updated
01/27/2009
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