Organization
BRIA CLINIC PAIN & INJURY RELIEF CENTER SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN SPALLA (BUSINESS OWNER)
(630) 649-2658
Entity
Organization
Contact information
Practice address
161 MARKET ST, WILLOW SPRINGS, IL 60480-1613
(630) 649-2658
Mailing address
161 MARKET ST, WILLOW SPRINGS, IL 60480-1613
(630) 649-2658
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
038-008995
IL
Other
Enumeration date
10/19/2010
Last updated
11/03/2010
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