Organization
FAMILY CHIROPRACTIC CLINIC OF VIOLA, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEAN HERRIN D.C. (PRESIDENT)
(309) 582-3326
Entity
Organization
Contact information
Practice address
606 SW 3RD ST, ALEDO, IL 61231-1808
(309) 582-3326
(309) 582-3326
Mailing address
PO BOX 22, ALEDO, IL 61231-0022
(309) 582-3326
(309) 582-3326
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
038-006482
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
350040641
RAILROAD MEDICARE
IL
Enumeration date
07/26/2010
Last updated
07/26/2010
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