Organization
EASTLAND CHIROPRACTIC LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS WAYNE HOELSCHER DC (PRESIDENT OWNER)
(309) 662-8418
Entity
Organization
Contact information
Practice address
2406 E WASHINGTON ST, BLOOMINGTON, IL 61704-7703
(309) 662-8418
Mailing address
2406 E WASHINGTON ST, BLOOMINGTON, IL 61704-7703
(309) 662-8418
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5782014
BLUE CROSS
IL
01
—
IL0100
JOHN DEERE
IL
Enumeration date
08/16/2006
Last updated
02/11/2008
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