Individual
DR. PAUL C. MACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DN
Contact information
Practice address
3129 SPAULDING ORCHARD RD, SPRINGFIELD, IL 62711-7318
(217) 638-6224
Mailing address
3129 SPAULDING ORCHARD RD, SPRINGFIELD, IL 62711-7318
(217) 638-6224
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
—
172P00000X
Naprapath
Primary
181000180
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
181-000180
STATE LICENSE
IL
Enumeration date
11/06/2006
Last updated
06/19/2009
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