Organization
COMPLETE FAMILY CHIROPRACTIC & WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMANTHA GLASCO DC (OWNER)
(618) 710-5004
Entity
Organization
Contact information
Practice address
317 MARKETPLACE DR, FREEBURG, IL 62243-4075
(618) 710-5004
Mailing address
19 LEO DR, FAIRVIEW HEIGHTS, IL 62208-1908
(618) 443-8374
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038012820
IL
Other
Enumeration date
12/28/2017
Last updated
12/28/2017
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