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Organization

GUNDERSON CLINIC OF CHIROPRACTIC INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DWIGHT CHARLES GUNDERSON D.C. (OWNER/CHIROPRACTOR)
(815) 624-2669
Entity
Organization

Contact information

Practice address
699 S BLACKHAWK BLVD, ROCKTON, IL 61072-2909
(815) 624-2669
(815) 624-0488
Mailing address
506 SOUTH BLACKHAWK, ROCKTON, IL 61072-2909
(815) 624-2669
(815) 624-0488

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
IL

Other

Enumeration date
10/11/2007
Last updated
11/27/2007
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