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Organization

CRESTWOOD CHIROPRACTIC AND REHAB

Active
Organization subpart
No

Provider details

NPI number
Authorized official
FRANK VAUGHT DC (OWNER)
(708) 396-2500
Entity
Organization

Contact information

Practice address
13657 CICERO AVE, CRESTWOOD, IL 60445-1936
(708) 396-2500
(708) 396-8605
Mailing address
103B SOUTHPOINTE, EDWARDSVILLE, IL 62025-3651
(618) 692-9640
(618) 692-9643

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
IL

Other

Enumeration date
10/13/2006
Last updated
07/19/2007
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