Organization
SPRINGFIELD CHIROPRACTIC CLINIC LTD
Active
Other names
Springfield Spinal Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY L WENNEBORG D.C. (ADMINISTRATOR)
(217) 544-5213
Entity
Organization
Contact information
Practice address
1045 S 2ND ST, SPRINGFIELD, IL 62704-3004
(217) 544-5213
(217) 544-8792
Mailing address
1045 S 2ND ST, SPRINGFIELD, IL 62704-3004
(217) 544-5213
(217) 544-8792
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
042007918
IL
Other
Enumeration date
03/13/2007
Last updated
04/16/2012
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