Organization
HOMETOWN CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINCE SILAS COLL JR. D.C. (CHIROPRACTOR)
(618) 664-0444
Entity
Organization
Contact information
Practice address
621 S 2ND ST, GREENVILLE, IL 62246-1744
(618) 664-0444
(618) 664-0454
Mailing address
621 S 2ND ST, GREENVILLE, IL 62246-1744
(618) 664-0444
(618) 664-0454
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30340053
B.C.B.S. PROVIDER #
IL
Enumeration date
03/25/2008
Last updated
03/25/2008
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