Organization
FAIRBURY CHIROPRACTIC CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT J NOWAK DC (PRESIDENT)
(815) 692-2373
Entity
Organization
Contact information
Practice address
401 S CLAY ST, FAIRBURY, IL 61739-1481
(815) 692-2373
(815) 692-2374
Mailing address
401 S CLAY ST, FAIRBURY, IL 61739-1481
(815) 692-2373
(815) 692-2374
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038007108
IL
Other
Enumeration date
10/02/2014
Last updated
10/02/2014
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