Organization
MAIN STREET CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT STUCK M.D. (OWNER)
(815) 230-9070
Entity
Organization
Contact information
Practice address
23915 W MAIN ST, UNIT 103, PLAINFIELD, IL 60544-1967
(815) 230-9070
Mailing address
23915 W MAIN ST, UNIT 103, PLAINFIELD, IL 60544-1967
(815) 230-9070
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
227.015217
IL
Other
Enumeration date
04/22/2015
Last updated
04/22/2015
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