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Organization

ROSENTHAL CHIROPRACTIC CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. REBECCA ANN ROSENTHAL D.C. (CHIROPRACTOR)
(815) 776-0595
Entity
Organization

Contact information

Practice address
202 SUMMIT ST, GALENA, IL 61036-1636
(815) 776-0595
(815) 776-0595
Mailing address
202 SUMMIT ST, GALENA, IL 61036-1636
(815) 776-0595
(815) 776-0595

Taxonomy

Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
007243
IA
302F00000X
Exclusive Provider Organization
Primary
038011927
IL
302F00000X
Exclusive Provider Organization
4551012
WI

Other

Enumeration date
06/05/2014
Last updated
06/05/2014
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