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Organization

DR. BRIAN MCGUCKIN LABORATORY NUTRITION, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRIAN CHARLES MCGUCKIN DC (MANAGER OWNER OF PLLC)
(779) 324-5741
Entity
Organization

Contact information

Practice address
15 OAK ST STE 2A, FRANKFORT, IL 60423-1486
(779) 324-5741
(779) 324-5607
Mailing address
21200 S LA GRANGE RD STE 189, FRANKFORT, IL 60423-2003
(779) 324-5741
(779) 324-5607

Taxonomy

Speciality
Code
Description
License number
State
111NI0900X
Internist Chiropractor
Primary

Other

Enumeration date
09/11/2024
Last updated
09/11/2024
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