Organization
DOWNSTATE CHIROPRACTIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIMBERLY K KIDNER D.C. (OWNER)
(815) 844-4631
Entity
Organization
Contact information
Practice address
1002 COMMERCIAL DRIVE, SUITE 4, MAHOMET, IL 61853
(217) 586-7535
Mailing address
214 NORTH LADD STREET, PONTIAC, IL 61764
(815) 844-4631
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Enumeration date
05/04/2007
Last updated
08/22/2020
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