Organization
ANGELA BAXTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANGELA LOUISE BAXTER D.C. (OWNER)
(618) 993-9910
Entity
Organization
Contact information
Practice address
3313 PATRIOT COURT, HERRIN, IL 62948-3782
(618) 993-9910
(618) 993-2774
Mailing address
3313 PATRIOT COURT, HERRIN, IL 62948-3782
(618) 993-9910
(618) 993-2774
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038010854
IL
Other
Enumeration date
06/15/2007
Last updated
09/20/2012
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