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Organization

ACTIVE EDGE CHIROPRACTIC & REHAB INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAMES EDWARD JOHNSON III D.C (CHIROPRACTOR)
(217) 836-2732
Entity
Organization

Contact information

Practice address
1024 MAINE ST, QUINCY, IL 62301-4039
(217) 222-6500
(217) 222-5688
Mailing address
1024 MAINE ST, QUINCY, IL 62301-4039
(217) 222-6500
(217) 222-5688

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038.012516
IL

Other

Enumeration date
08/12/2014
Last updated
09/23/2025
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