Organization
CARL F BLACKFORD PC
Active
Other names
Churchill Chiropractic Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARL F BLACKFORD DC (OWNER)
(847) 885-8808
Entity
Organization
Contact information
Practice address
1845 W GOLF RD, SCHAUMBURG, IL 60194-1148
(847) 885-8808
(847) 885-9006
Mailing address
1845 W GOLF RD, SCHAUMBURG, IL 60194-1148
(847) 885-8808
(847) 885-9006
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
060004970038004794
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1682571
BC BS OF IL
IL
Enumeration date
04/02/2007
Last updated
12/27/2007
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