Bly Chiropractic Clinic, P.c.

NPI #1245423748 in Bloomington, Illinois

Provider Information

NPI Number: 1245423748
Entity Type: Organization
Organization Name: Bly Chiropractic Clinic, P.c.
Primary Specialty: Chiropractor
Enumeration Date: Aug 20, 2007
Last Updated: Aug 20, 2007

Practice Location

Address: 2501 E COLLEGE AVE
Address 2: STE C
City: Bloomington
State: Illinois
ZIP Code: 61704-2484
Phone: (309) 661-1155

Authorized Official

Name: MR. TIMOTHY J BLY, D.C
Title: CHIROPRACTOR/OWNER
Phone: (309) 661-1155

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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