Organization
MACOUPIN COUNTY CHIRO PARTNERSHIP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT J BROWN D.C. (OWNER)
(618) 635-2502
Entity
Organization
Contact information
Practice address
704 S HACKMAN ST, STAUNTON, IL 62088-1630
(618) 635-2502
(618) 635-2506
Mailing address
704 S HACKMAN ST, STAUNTON, IL 62088-1630
(618) 635-2502
(618) 635-2506
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038011703
IL
111NS0005X
Sports Physician Chiropractor
038011619
IL
Other
Enumeration date
12/01/2010
Last updated
12/01/2010
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