Organization
MT. CARMEL CHIROPRACTIC CLINIC, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIRGIL LEE POTTS D.C. (PRESIDENT)
(618) 262-2225
Entity
Organization
Contact information
Practice address
616 N MARKET ST, MOUNT CARMEL, IL 62863-1459
(618) 262-2225
(618) 262-2880
Mailing address
616 N MARKET ST, MOUNT CARMEL, IL 62863-1459
(618) 262-2225
(618) 262-2880
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
042-617767
IL
Other
Enumeration date
04/18/2006
Last updated
08/01/2014
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