Organization
B. WRIGHT BACK CHIROPRACTIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRANDON MICHAEL WRIGHT D.C. (PRESIDENT)
(309) 224-7983
Entity
Organization
Contact information
Practice address
175 S MAIN ST, CANTON, IL 61520-2670
(309) 224-7983
Mailing address
175 S MAIN ST, CANTON, IL 61520-2670
(309) 224-7983
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038011951
IL
Other
Enumeration date
10/31/2011
Last updated
10/31/2011
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