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Individual

MELISSA DAWN BONEY-WEGMANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
309 SOUTH MAIN ST, MONMOUTH, IL 61462-2111
(309) 734-2447
(309) 734-0749
Mailing address
309 SOUTH MAIN ST, MONMOUTH, IL 61462-2111
(309) 734-2447
(309) 734-0749

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038008005
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
038008005
IL
Enumeration date
07/08/2006
Last updated
11/19/2015
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