Organization
CARLINVILLE CHIROPRACTIC CLINIC LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK WALTER WADE DC (CHIROPRACTIC)
(217) 854-8211
Entity
Organization
Contact information
Practice address
295 NORTH BROAD, CARLINVILLE, IL 62626-1301
(217) 854-8211
(217) 854-3636
Mailing address
295 NORTH BROAD, CARLINVILLE, IL 62626
(217) 854-8211
(217) 854-3636
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
37-11104570
IL
Other
Enumeration date
12/28/2007
Last updated
06/25/2013
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