Organization
DONAHUE CHIROPRACTIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH H DONAHUE D.C. (OWNER)
(815) 223-0988
Entity
Organization
Contact information
Practice address
1915 4TH ST, SUITE 2, PERU, IL 61354-3361
(815) 223-0988
Mailing address
1915 4TH ST, SUITE 2, PERU, IL 61354-3361
(815) 223-0988
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
038-004002
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050-52018
BC/BS
IL
Enumeration date
06/12/2008
Last updated
06/12/2008
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