Organization
CHAMPAIGN CLINIC INC
Active
Other names
Champaign Chiropractic Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN DOUGLAS STACHNIK DC (OWNER/DOCTOR)
(217) 355-5922
Entity
Organization
Contact information
Practice address
1207 S MATTIS AVE STE 2, CHAMPAIGN, IL 61821-4861
(217) 355-5922
(217) 355-5925
Mailing address
1207 S MATTIS AVE STE 2, CHAMPAIGN, IL 61821-4861
(217) 355-5922
(217) 355-5925
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
07/02/2024
Last updated
09/16/2024
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