Organization
FRONTLINE CHIROPRACTIC CLINIC INC
Active
Other names
FCC INC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY JACOB MORENO D.C. (OWNER)
(309) 755-2311
Entity
Organization
Contact information
Practice address
723 15TH AVE, EAST MOLINE, IL 61244-2133
(309) 755-2311
Mailing address
723 15TH AVE, EAST MOLINE, IL 61244-2133
(309) 755-2311
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038012344
IL
Other
Enumeration date
03/21/2013
Last updated
04/04/2013
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