Organization
AMADOR CHIROPRACTIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KIRK A AMADOR D.C. (OWNER)
(309) 526-3030
Entity
Organization
Contact information
Practice address
410 11TH AVE, ORION, IL 61273
(309) 526-3030
(309) 526-3095
Mailing address
410 11TH AVE, P.O. BOX 463, ORION, IL 61273
(309) 526-3030
(309) 526-3035
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-007539
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3721898
BLUE CROSS BLUE SHIELD NUMBER
IL
Enumeration date
07/14/2008
Last updated
07/14/2008
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