Organization
CORNERSTONE CHIROPRACTIC INC PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL J ILYANKOFF D.C. (PRESIDENT-OFFICER)
(425) 379-6301
Entity
Organization
Contact information
Practice address
2003 132ND ST SE, SUITE E, EVERETT, WA 98208-7140
(425) 379-6301
(425) 379-5761
Mailing address
2003 132ND ST SE, SUITE E, EVERETT, WA 98208-7140
(425) 379-6301
(425) 379-5761
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00003256
WA
111N00000X
Chiropractor
CH00033614
WA
Other
Enumeration date
11/16/2007
Last updated
01/21/2008
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