Organization
FAMILY CHIROPRACTIC CLINIC OF VIOLA, PC
Active
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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