Organization
FENTON FAMILY CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN M FENTON D.C. (DOCTOR)
(217) 854-2557
Entity
Organization
Contact information
Practice address
490 WEST SIDE SQUARE, CARLINVILLE, IL 62626
(217) 854-2557
(217) 854-2558
Mailing address
490 W SIDE SQ, CARLINVILLE, IL 62626-1796
(217) 854-2557
(217) 854-2558
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-011703
IL
Other
Enumeration date
07/23/2013
Last updated
07/23/2013
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