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Organization

BRENT C PAXTON P C

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRENT C PAXTON D.C. (PRESIDENT)
(847) 746-3777
Entity
Organization

Contact information

Practice address
2248 SHERIDAN RD, SUITE 2, ZION, IL 60099-2329
(847) 746-3777
Mailing address
2248 SHERIDAN RD, SUITE 2, ZION, IL 60099-2329
(847) 746-3777

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
04982069
BC BS
IL
Enumeration date
11/02/2007
Last updated
11/12/2007
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