Organization
KCP ENTERPRISES, LLC
Active
Other names
Family Health Quest
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAIG R PAULS D.C. (OWNER/CHIROPRACTOR)
(815) 235-2301
Entity
Organization
Contact information
Practice address
640 W SOUTH ST, SUITE 1, FREEPORT, IL 61032-6838
(815) 235-2301
Mailing address
640 W SOUTH ST, SUITE 1, FREEPORT, IL 61032-6838
(815) 235-2301
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0389011218
IL
Other
Enumeration date
09/03/2008
Last updated
11/07/2008
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