Organization
ELITE CHIROPRACTIC CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTINA TASSIANRI CLAYWELL DC (DOCTOR)
(618) 307-9540
Entity
Organization
Contact information
Practice address
11 GINGER CREEK VLG, GLEN CARBON, IL 62034-3517
(618) 307-9540
Mailing address
11 GINGER CREEK VLG, GLEN CARBON, IL 62034-3517
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038012946
IL
Other
Enumeration date
11/01/2017
Last updated
02/01/2019
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