Organization
STRATTON CHIROPRACTIC AND FAMILY HEALTH CENTER P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COLLEEN MARIE STRATTON D.C., C.A.C.C.P. (CHIROPRACTIC PHYSICIAN)
(618) 939-5585
Entity
Organization
Contact information
Practice address
343 W 4TH ST, WATERLOO, IL 62298-1338
(618) 939-5585
(618) 939-2099
Mailing address
343 W 4TH ST, WATERLOO, IL 62298-1338
(618) 939-5585
(618) 939-2099
Taxonomy
Speciality
Code
Description
License number
State
111NP0017X
Pediatric Chiropractor
Primary
038008800
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06725377
BCBS OF ILLINOIS
IL
01
—
120511
HEALTHLINK
MO
01
—
155541
BCBS OF MISSOURI
MO
01
—
44-00540
UNITED HEALTHCARE
IL
Enumeration date
04/28/2010
Last updated
05/01/2010
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