Carlinville Chiropractic Clinic Ltd

NPI #1174707939 in Carlinville, Illinois

Provider Information

NPI Number: 1174707939
Entity Type: Organization
Organization Name: Carlinville Chiropractic Clinic Ltd
Primary Specialty: Chiropractor
Enumeration Date: Dec 28, 2007
Last Updated: Jun 25, 2013

Practice Location

Address: 295 NORTH BROAD
City: Carlinville
State: Illinois
ZIP Code: 62626-1301
Phone: (217) 854-8211

Authorized Official

Name: DR. MARK WALTER WADE, DC
Title: CHIROPRACTIC
Phone: (217) 854-8211

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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