Organization
JORDAHL CHIROPRACTIC & REHABILITATION CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS A JORDAHL D.C. (DOCTOR)
(217) 892-5770
Entity
Organization
Contact information
Practice address
1640 E GROVE AVE, RANTOUL, IL 61866-2737
(217) 892-5770
(217) 893-4316
Mailing address
1640 E GROVE AVENUE, CHAMPAIGN, IL 61866
(217) 892-5770
(217) 893-4316
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-006955
IL
Other
Enumeration date
04/16/2007
Last updated
11/12/2014
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