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Individual

DR. JAMES EDGAR WAYNE DRAKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1860 S BELL SCHOOL RD, CHERRY VALLEY, IL 61016-9372
(815) 580-8270
(815) 580-8278
Mailing address
1860 S BELL SCHOOL RD, CHERRY VALLEY, IL 61016-9372
(815) 580-8270
(815) 580-8278

Taxonomy

Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
038-010047
IL

Other

Enumeration date
01/18/2007
Last updated
06/27/2012
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