Organization
GREEN CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON M GREEN D.C. (PRESIDENT)
(563) 209-8583
Entity
Organization
Contact information
Practice address
400 BROADWAY ST, GALENA, IL 61036
(815) 777-0042
Mailing address
1736 HWY 80 S., CUBA CITY, WI 53807
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038011965
IL
Other
Enumeration date
09/14/2011
Last updated
09/14/2011
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