Individual
ETHAN FRYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
306 5TH ST, CARROLLTON, IL 62016-1325
(217) 942-6272
Mailing address
306 5TH ST, CARROLLTON, IL 62016-1325
(217) 942-6272
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038013973
IL
Other
Enumeration date
04/13/2023
Last updated
04/13/2023
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