Organization
FAMILY CHIROPRACTIC HEALTH AND NUTRITION, P.C.
Active
Parent organization
FAMILY CHIROPRACTIC HEALTH AND NUTRITION, P.C.
Other names
Family Chiropractic Health and Nutrition, P.C.
Organization subpart
Yes
Provider details
NPI number
Legal business name
FAMILY CHIROPRACTIC HEALTH AND NUTRITION, P.C.
Authorized official
DR. THOMAS E EISELT D.C. (OWNER)
(309) 647-3502
Entity
Organization
Contact information
Practice address
45 E SIDE SQ STE 101, CANTON, IL 61520-2671
(309) 647-3502
Mailing address
45 E SIDE SQ STE 101, CANTON, IL 61520-2671
(309) 647-3502
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038011266
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038011266
—
IL
Enumeration date
02/18/2014
Last updated
04/02/2014
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