Organization
MCGUIRE CHIROPRACTIC CLINIC S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS RAY MCGUIRE D.C. (PRESIDENT/OWNER)
(618) 435-2500
Entity
Organization
Contact information
Practice address
805 N MAIN ST, BENTON, IL 62812-1019
(618) 435-2500
(618) 438-5119
Mailing address
805 N MAIN ST, BENTON, IL 62812-1019
(618) 435-2500
(618) 438-5119
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
042617953
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038008385
—
IL
01
—
2823412
BLUE CROSS & BLUE SHIELD
IL
01
—
404465
HEALTHLINK
IL
Enumeration date
02/12/2007
Last updated
01/31/2011
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