Organization
CECIL CHIROPRACTIC CLINIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN ALLAN CECIL (PRESIDENT)
(708) 352-9393
Entity
Organization
Contact information
Practice address
917C W 55TH ST, COUNTRYSIDE, IL 60525-6613
(708) 352-9393
(708) 352-5077
Mailing address
4601 WOODWARD AVE, DOWNERS GROVE, IL 60515-2632
(630) 964-5117
(708) 352-5077
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16-82743
BLUECROSSBLUESHIELD
IL
Enumeration date
11/18/2006
Last updated
11/25/2020
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