Champaign Clinic INC

NPI #1316783178 in Champaign, Illinois

Provider Information

NPI Number: 1316783178
Entity Type: Organization
Organization Name: Champaign Clinic INC
Primary Specialty: Chiropractor
Enumeration Date: Jul 2, 2024
Last Updated: Sep 16, 2024

Practice Location

Address: 1207 S MATTIS AVE STE 2
City: Champaign
State: Illinois
ZIP Code: 61821-4861
Phone: (217) 355-5922

Authorized Official

Name: DR. KEVIN DOUGLAS STACHNIK, DC
Title: OWNER/DOCTOR
Phone: (217) 355-5922

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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