Individual
DR. DALE HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
924 S 10TH ST, PEKIN, IL 61554-4811
(309) 347-8564
(309) 347-8564
Mailing address
924 S 10TH ST, PEKIN, IL 61554-4811
(309) 347-8564
(309) 347-8564
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038005246
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038005246
—
IL
Enumeration date
01/10/2007
Last updated
07/08/2007
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