Organization
FENTON FAMILY CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN MATTHEW FENTON D.C. (OWNER)
(217) 854-2557
Entity
Organization
Contact information
Practice address
490 W SIDE SQ, CARLINVILLE, IL 62626-1796
(217) 854-2557
(217) 854-5255
Mailing address
490 W SIDE SQ, CARLINVILLE, IL 62626-1796
(217) 854-2557
(217) 854-5255
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
05/10/2012
Last updated
05/10/2012
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