Organization
CRAIG SPINE AND SPORT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW CARL CRAIG D.C. (CLINICAL DIRECTOR/OWNER)
(309) 360-2137
Entity
Organization
Contact information
Practice address
330 S MAIN ST, SUITE E, MORTON, IL 61550-1976
(309) 360-2137
Mailing address
330 S MAIN ST, SUITE E, MORTON, IL 61550-1976
(309) 360-2137
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
038011215
IL
Other
Enumeration date
11/04/2014
Last updated
11/04/2014
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