Organization
CLAY COUNTY CHIROPRACTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. J. COREY WALKER D.C. (CHIROPRACTOR)
(618) 662-4100
Entity
Organization
Contact information
Practice address
11 GREENLAW BLVD, FLORA, IL 62839-1300
(618) 662-4100
(618) 662-8751
Mailing address
11 GREENLAW BLVD, FLORA, IL 62839-1300
(618) 662-4100
(618) 662-8751
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038010590
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11605233
CAQH
IL
01
—
1332010
BCBS
IL
Enumeration date
01/25/2007
Last updated
02/03/2015
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