Organization
CHIROSOURCE, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER ROSS MERSINGER DC (PRESIDENT)
(630) 887-9400
Entity
Organization
Contact information
Practice address
555 PLAINFIELD RD, SUITE B, WILLOWBROOK, IL 60527-7602
(630) 887-9400
(630) 887-9495
Mailing address
555 PLAINFIELD RD, SUITE B, WILLOWBROOK, IL 60527-7602
(630) 887-9400
(630) 887-9495
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
213068
GROUP PROVIDER NUMBER
IL
Enumeration date
08/22/2007
Last updated
08/22/2007
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