Individual
DR. BRYNE PAUL WILLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C., M.S.
Contact information
Practice address
11 CURRENCY DR STE 201, BLOOMINGTON, IL 61704-9399
(309) 665-0777
(309) 404-0778
Mailing address
11 CURRENCY DR STE 201, BLOOMINGTON, IL 61704-9399
(309) 665-0777
(309) 404-0778
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
038.012119
IL
Other
Enumeration date
02/12/2012
Last updated
06/25/2012
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