Organization
DAVIDSON CHIROPRACTIC CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY A DAVIDSON DC (PRESIDENT)
(815) 729-9922
Entity
Organization
Contact information
Practice address
1640 WILLOW CIRCLE DR, STE # 400, CREST HILL, IL 60403
(815) 729-9922
Mailing address
1640 WILLOW CIRCLE DR, STE # 400, CREST HILL, IL 60435-0959
(815) 729-9922
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
04/26/2007
Last updated
08/22/2020
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