Individual
CHANDRACHUR BANERJEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
435-B S. BUCHANAN ST., EDWARDSVILLE, IL 62025-0997
(618) 692-9802
(618) 692-6711
Mailing address
PO BOX 946, EDWARDSVILLE, IL 62025-0946
(618) 692-9802
(618) 692-6711
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038011453
IL
Other
Enumeration date
12/18/2006
Last updated
01/07/2010
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