Organization
GIRARDO CHIROPRACTIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN GIRADO (OWNER)
(618) 457-0459
Entity
Organization
Contact information
Practice address
205 E MAIN ST, CARBONDALE, IL 62901-3008
(618) 457-0459
Mailing address
205 E MAIN ST, CARBONDALE, IL 62901-3008
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038006734
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
038006734
LICENSE
IL
Enumeration date
01/18/2007
Last updated
08/03/2010
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