Individual
DR. CREIGHTON V ENGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
108 E CHURCH ST, SALEM, IL 62881-3001
(618) 548-5255
(618) 548-4625
Mailing address
108 E CHURCH ST, SALEM, IL 62881-3001
(618) 548-5255
(618) 548-4625
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-003670
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
038-003670
LICENSE NUMBER
IL
01
—
37-1392751
TAX IDENTIFICATION
IL
01
—
6182006
BLUE CROSS/BLUE SHIELD
IL
Enumeration date
11/02/2006
Last updated
11/12/2015
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