Healthsource Chiropractic of Champaign, S.c.

NPI #1023556164 in Champaign, Illinois

Provider Information

NPI Number: 1023556164
Entity Type: Organization
Organization Name: Healthsource Chiropractic of Champaign, S.c.
Primary Specialty: Clinic/Center
Enumeration Date: Feb 9, 2017
Last Updated: Jan 16, 2018

Practice Location

Address: 2003 ROUND BARN RD
Address 2: SUITE B
City: Champaign
State: Illinois
ZIP Code: 61821-6827
Phone: (217) 281-0006

Authorized Official

Name: DR. CAMERON ROBERT MACKICHAN, D.C.
Title: OWNER
Phone: (217) 281-0006

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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