Organization
CAPITOL CHIROMED, LTD.
Active
Other names
Capitol Chiropractic Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELLE OLIVER DC (OFFICE MANAGER)
(217) 391-5446
Entity
Organization
Contact information
Practice address
3631 S 6TH ST, SUITE B, SPRINGFIELD, IL 62703-4777
(217) 391-5446
(217) 585-6720
Mailing address
3631 S 6TH ST, SUITE B, SPRINGFIELD, IL 62703-4777
(217) 391-5446
(217) 585-6720
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08423460
BLUE CROSS BLUE SHIELD #
IL
Enumeration date
02/22/2006
Last updated
10/23/2007
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