Organization
BEDNAR CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRI LYNN BEDNAR D.C. (DOCTOR OF CHIROPRACTIC)
(309) 224-4701
Entity
Organization
Contact information
Practice address
1113 COURT ST, PEKIN, IL 61554-4921
(309) 349-3747
(309) 349-3746
Mailing address
1113 COURT ST, PEKIN, IL 61554-4921
(309) 349-3747
(309) 349-3746
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038011706
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IL7397
MEDICARE PTAN
IL
Enumeration date
03/25/2013
Last updated
03/25/2013
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