Organization
SMITH CHIROPRACTIC CLINIC LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDALL SMITH (DOCTOR)
(630) 517-8670
Entity
Organization
Contact information
Practice address
442 SUNNYSIDE AVE, WHEATON, IL 60187-5006
(630) 517-8670
Mailing address
442 SUNNYSIDE AVE, WHEATON, IL 60187-5006
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
038.005471
IL
Other
Enumeration date
03/06/2012
Last updated
03/06/2012
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