Organization
ANDALUSIA FAMILY CHIROPRACTIC PC
Active
Other names
Andalusia Family Chiropractic PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS BISBY DC (PRESIDENT)
(309) 798-5555
Entity
Organization
Contact information
Practice address
326 6TH AVE WEST, SUITE 1, ANDALUSIA, IL 61232-0555
(309) 798-5555
(309) 798-5205
Mailing address
326 6TH AVE WEST SUITE 1, PO BOX 555, ANDALUSIA, IL 61232-0555
(309) 798-5555
(309) 798-5205
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
038-010216
IL
111N00000X
Chiropractor
Primary
060-009615
IL
Other
Enumeration date
12/07/2007
Last updated
02/11/2010
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