Organization
BLOOMINGTON CHIROPRACTIC CENTER, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN M EVERINGHAM D.C. (SENIOR ASSOICATE)
(309) 663-8388
Entity
Organization
Contact information
Practice address
409 S PROSPECT RD, SUITE A, BLOOMINGTON, IL 61704-4581
(309) 663-8388
(309) 663-0929
Mailing address
409 S PROSPECT RD, SUITE A, BLOOMINGTON, IL 61704-4581
(309) 663-8388
(309) 663-0929
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
060002911- 038007235
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5715397
BLUE CROSS / BLUE SHIED
IL
Enumeration date
10/31/2007
Last updated
10/31/2007
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