Organization
FEDDES CHIROPRACTIC LTD
Active
Other names
Gottfried Chiropractic Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSHUA CLARENCE FEDDES D.C. (OWNER/OPERATOR)
(314) 691-2938
Entity
Organization
Contact information
Practice address
200 N WEST ST, OLNEY, IL 62450-1108
(618) 395-9131
Mailing address
200 N WEST ST, OLNEY, IL 62450-1108
(618) 395-9131
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038012288
IL
Other
Enumeration date
10/16/2012
Last updated
10/16/2012
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