Organization
JANECEK CHIROPRACTIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID EDWARD JANECEK DC (OWNER)
(815) 692-4420
Entity
Organization
Contact information
Practice address
505 N JACKSON ST, FAIRBURY, IL 61739-1040
(309) 838-3835
Mailing address
505 N JACKSON ST, FAIRBURY, IL 61739-1040
(309) 838-3835
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-003756
IL
261QM2500X
Medical Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038003756
—
IL
01
—
081-82039
BLUECROSS BLUESHIELD OF ILLINOIS
IL
Enumeration date
12/07/2010
Last updated
08/15/2023
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