Organization
MARVEL CHIROPRACTIC AND WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELLE D. MARVEL D.C. (MANAGER)
(618) 983-8100
Entity
Organization
Contact information
Practice address
417 E BROADWAY BLVD, JOHNSTON CITY, IL 62951-1608
(618) 983-8100
(618) 983-8110
Mailing address
417 E BROADWAY BLVD, JOHNSTON CITY, IL 62951-1608
(618) 983-8100
(618) 983-8110
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038.011177
IL
Other
Enumeration date
09/17/2008
Last updated
01/06/2009
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