Organization
BODY AND SPINE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARISSA M BARANOSKI D.C. (CHIROPRACTIC PHYSICIAN/OWNER)
(815) 582-0006
Entity
Organization
Contact information
Practice address
3037 THEODORE ST, JOLIET, IL 60435-5191
(815) 582-0006
Mailing address
3037 THEODORE ST, JOLIET, IL 60435-5191
(815) 582-0006
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038011832
IL
Other
Enumeration date
11/12/2012
Last updated
02/26/2020
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