Organization
CHIROPRACTIC HEALTHCARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD E CHARPENTIER II DC (OWNER/DOCTOR)
(217) 243-3377
Entity
Organization
Contact information
Practice address
1424 W WALNUT ST, JACKSONVILLE, IL 62650-1103
(217) 243-3377
(217) 243-0022
Mailing address
1424 W WALNUT ST, JACKSONVILLE, IL 62650-1103
(217) 243-3377
(217) 243-0022
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06907658
BCBS
IL
Enumeration date
02/10/2006
Last updated
12/12/2007
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