Grundy County Pain Center Sc

NPI #1083731608 in Morris, Illinois

Provider Information

NPI Number: 1083731608
Entity Type: Organization
Organization Name: Grundy County Pain Center Sc
Primary Specialty: Chiropractor
Enumeration Date: Mar 26, 2007
Last Updated: Jun 26, 2008

Practice Location

Address: 425 E US ROUTE 6
Address 2: SUITE A
City: Morris
State: Illinois
ZIP Code: 60450-9042
Phone: (815) 942-6511

Authorized Official

Name: DIANE CARLSON
Title: MGR
Phone: (815) 942-6511

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Physical Therapy — Physical Therapy	261QP2000X
Chiropractor	111N00000X	Primary

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