Organization
CARSON CHIROPRACTIC, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC EDWARD CARSON D.C. (DOCTOR)
(630) 551-1003
Entity
Organization
Contact information
Practice address
4541 STATE ROUTE 71, OSWEGO, IL 60543-7416
(630) 551-1003
(630) 551-4914
Mailing address
4541 STATE ROUTE 71, OSWEGO, IL 60543-7416
(630) 551-1003
(630) 551-4914
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-009980
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
047-32019
BC/BS PROVIDER#
IL
01
—
214-1847
FIRSTHEALTH PROVIDER#
IL
Enumeration date
06/29/2006
Last updated
07/29/2011
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