Organization
HEALTHSOURCE CHIROPRACTIC OF CHAMPAIGN, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAMERON ROBERT MACKICHAN D.C. (OWNER)
(217) 281-0006
Entity
Organization
Contact information
Practice address
2003 ROUND BARN RD, SUITE B, CHAMPAIGN, IL 61821-6827
(217) 281-0006
Mailing address
2003 ROUND BARN RD, SUITE B, CHAMPAIGN, IL 61821-6827
(217) 281-0006
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
038.012800
IL
Other
Enumeration date
02/09/2017
Last updated
01/16/2018
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