Organization
FORWARD LIVING LTD
Active
Other names
Forward Living Family Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES BRENDAN PARISH D.C. (PRESIDENT)
(309) 664-0102
Entity
Organization
Contact information
Practice address
220 N ELDORADO RD, SUITE B, BLOOMINGTON, IL 61704-7703
(309) 664-0102
(309) 664-0112
Mailing address
220 N ELDORADO RD, SUITE B, BLOOMINGTON, IL 61704-7703
(309) 664-0102
(309) 664-0112
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038011492
IL
Other
Enumeration date
08/13/2009
Last updated
10/01/2009
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