Organization
ALLIED HEALTH CHIROPRACTIC CENTERS OF IL, LLC
Active
Other names
Allied Health Chiropractic Centers
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT D BAUTCH DC (CEO)
(715) 848-2526
Entity
Organization
Contact information
Practice address
601 S 32ND AVE, WAUSAU, WI 54401-3958
(715) 848-2526
Mailing address
601 S 32ND AVE, WAUSAU, WI 54401-3958
(715) 848-2526
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07232019
BLUE CROSS OF IL
IL
01
—
CK6783
RAILROAD MEDICARE
IL
01
—
CK7346
RAILROAD MEDICARE
IL
Enumeration date
05/25/2006
Last updated
01/05/2011
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