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Organization

MCCOY CHIROPRACTIC, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KATTIE N. O'MALLEY (OFFICE MANAGER)
(815) 895-5111
Entity
Organization

Contact information

Practice address
2676 DEKALB AVENUE, SYCAMORE, IL 60178-3110
(815) 895-5111
(815) 895-5114
Mailing address
2676 DEKALB AVENUE, SYCAMORE, IL 60178-3110
(815) 895-5111
(815) 895-5114

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
060-000586
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01915170
BCBS PROVIDER ID
IL
01
L0754
RAILROAD MEDICARE
IL
Enumeration date
08/02/2006
Last updated
10/11/2011
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