Individual
CLAYTON RUTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
411 S BROAD ST, LANARK, IL 61046-1209
(815) 238-1250
Mailing address
32170 CHAMBERS GROVE RD, LANARK, IL 61046-9066
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038.013804
IL
Other
Enumeration date
11/09/2021
Last updated
11/09/2021
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