Organization
CENTRAL STATE CHIROPRACTIC & REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN BURNETT CRAWFORD D.C. (OWNER)
(217) 398-2225
Entity
Organization
Contact information
Practice address
2101 WINDSOR PL, CHAMPAIGN, IL 61820-7769
(217) 398-2225
(217) 398-2224
Mailing address
2101 WINDSOR PL, CHAMPAIGN, IL 61820-7769
(217) 398-2225
(217) 398-2224
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038.008791
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01022961
BLUE CROSS / BLUE SHIELD
IN
Enumeration date
04/01/2010
Last updated
04/01/2010
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