Taylorville Chiropractic Clinic Ltd.

NPI #1063491389 in Granite City, Illinois

Provider Information

NPI Number: 1063491389
Entity Type: Organization
Organization Name: Taylorville Chiropractic Clinic Ltd.
Subpart: Yes (part of a larger organization)
Parent Organization: TAYLORVILLE CHIROPRACTIC CLINIC LTD.
Primary Specialty: Chiropractor
Enumeration Date: Jan 13, 2006
Last Updated: Jul 22, 2008

Practice Location

Address: 2339 PONTOON ROAD
City: Granite City
State: Illinois
ZIP Code: 62040
Phone: (618) 931-2050

Authorized Official

Name: DR. PHILIP S DUDAK, DC
Title: PRESIDENT OF CORPORATION
Phone: (618) 931-2050

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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