Organization
PHYSICAL MEDICINE CLINIC OF GRANITE CITY LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIDGET BRASFIELD D.C. (OWNER/CHIROPRACTOR)
(618) 877-4000
Entity
Organization
Contact information
Practice address
2861 MADISON AVE, GRANITE CITY, IL 62040-3614
(618) 877-4000
(618) 877-0874
Mailing address
2861 MADISON AVE, GRANITE CITY, IL 62040-3614
(618) 877-4000
(618) 877-0874
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
038009646
IL
363LA2200X
Adult Health Nurse Practitioner
Primary
209007631
IL
Other
Enumeration date
09/28/2009
Last updated
10/15/2013
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