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Individual

CHRISTOPHER WORTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
5007 N ILLINOIS ST, SUITE 1, FAIRVIEW HEIGHTS, IL 62208-3419
(618) 235-4357
(618) 235-9865
Mailing address
5007 N ILLINOIS ST, SUITE 1, FAIRVIEW HEIGHTS, IL 62208-3419
(618) 235-4357
(618) 235-9865

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
NONE
IL
Enumeration date
05/04/2006
Last updated
07/08/2007
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