Organization
ADAMS CHIROPRACTIC CLINIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JILL REATHERFORD (OFFICE MANAGER)
(309) 367-4183
Entity
Organization
Contact information
Practice address
215 W MT VERNON, METAMORA, IL 61548
(309) 367-4183
Mailing address
215 W MT VERNON, METAMORA, IL 61548
(309) 367-4183
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10282006
BLUE CROSS BLUE SHIELD
IL
Enumeration date
10/29/2007
Last updated
02/28/2011
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