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Organization

CORE HEALTH GROUP PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHANIE LYNN FAULKNER (MANAGER)
(618) 654-3000
Entity
Organization

Contact information

Practice address
1006 WALNUT ST., HIGHLAND, IL 62249-1542
(618) 654-3000
(618) 654-1567
Mailing address
1006 WALNUT ST., HIGHLAND, IL 62249-1542
(618) 654-3000
(618) 654-1567

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
038-010972
IL
111N00000X
Chiropractor
Primary
038.010972
IL

Other

Enumeration date
10/09/2007
Last updated
08/26/2010
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