Organization
COMMUNITY CHIROPRACTIC CENTER WOODSTOCK SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MERKLING D.C. (CEO)
(815) 337-5500
Entity
Organization
Contact information
Practice address
126 S JEFFERSON ST, WOODSTOCK, IL 60098-3438
(815) 337-5500
(815) 337-5733
Mailing address
126 S JEFFERSON ST, WOODSTOCK, IL 60098-3438
(815) 337-5500
(815) 337-5733
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038006525
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
913860
MEDICARE PTAN
IL
Enumeration date
12/03/2009
Last updated
12/03/2009
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