Organization
GANDOLFI CHIROPRACTIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL GANDOLFI D.C. (CHIROPRACTOR)
(217) 345-4065
Entity
Organization
Contact information
Practice address
2115 18TH ST, CHARLESTON, IL 61920-4338
(217) 345-4065
Mailing address
2115 18TH ST, CHARLESTON, IL 61920-4338
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038005093
IL
Other
Enumeration date
12/19/2007
Last updated
02/08/2011
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