Organization
GLAS CHIROPRACTIC S.C.
Active
Other names
Glas Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRET BYRON GLAS D.C. (PRINCIPAL OFFICER)
(309) 453-7607
Entity
Organization
Contact information
Practice address
1415 W RIVERVIEW DR, EAST PEORIA, IL 61611-9647
(309) 453-7607
Mailing address
1415 W RIVERVIEW DR, EAST PEORIA, IL 61611-9647
(309) 453-7607
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
042619123
IL
Other
Enumeration date
09/05/2007
Last updated
06/25/2012
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