Individual
DR. KEVIN STACHNIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1207 S MATTIS AVE, STE 2, CHAMPAIGN, IL 61821-4861
(309) 661-0414
(309) 661-8697
Mailing address
1207 S MATTIS AVE, STE 2, CHAMPAIGN, IL 61821-4861
(309) 745-8426
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-010537
IL
Other
Enumeration date
05/10/2006
Last updated
02/12/2018
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