Organization
GLASS CHIROPRACTIC AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACOB R. GLASS D. C. (C.E.O.)
(270) 564-0999
Entity
Organization
Contact information
Practice address
810 MARKET ST, METROPOLIS, IL 62960-1636
(618) 524-5151
Mailing address
810 MARKET ST, METROPOLIS, IL 62960-1636
(618) 524-5151
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038.011432
IL
Other
Enumeration date
07/16/2009
Last updated
07/16/2009
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