Organization
BULL CLINIC P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID LEE BULL D.C. (PRESIDENT)
(309) 523-3491
Entity
Organization
Contact information
Practice address
1010 ROSEHILL RD, PORT BYRON, IL 61275-9686
(309) 523-3491
(309) 523-3670
Mailing address
1010 ROSEHILL RD, PORT BYRON, IL 61275-9686
(309) 523-3491
(309) 523-3670
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038.007268
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
535320
P10
IL
Enumeration date
02/07/2012
Last updated
02/07/2012
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