Organization
ALEXANDER CHIROPRACTIC CARE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAY ALEXANDER DC -FASA -ATC (PRESIDENT)
(217) 398-9870
Entity
Organization
Contact information
Practice address
1711 S NEIL ST, CHAMPAIGN, IL 61820-7298
(217) 398-9870
(217) 398-1817
Mailing address
1711 S NEIL ST, CHAMPAIGN, IL 61820-7298
(217) 398-9870
(217) 398-1817
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
049259
HEALTH ALLIANCE
IL
01
—
102334
BLUE CROSS BLUE SHIELD
IL
01
—
1205925492
NPI TYPE 1
IL
01
—
1912101940
NPI TYPE2
IL
Enumeration date
06/13/2007
Last updated
08/22/2020
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