Grpc Wellness Clinic Sc
NPI #1366861155 in Greenville, Illinois
Provider Information
- NPI Number
- 1366861155
- Entity Type
- Organization
- Organization Name
- Grpc Wellness Clinic Sc
- Primary Specialty
- Physical Medicine & Rehabilitation
- Enumeration Date
- Apr 9, 2014
- Last Updated
- Apr 9, 2014
Practice Location
- Address
- 1105 E HARRIS AVE
- City
- Greenville
- State
- Illinois
- ZIP Code
- 62246-2221
- Phone
- (618) 664-4600
Authorized Official
- Name
- DR. MATTHEW R CHENAULT, DC
- Title
- OWNER/CEO
- Phone
- (618) 664-4600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor - Rehabilitation — Rehabilitation |
| Physical Medicine & Rehabilitation |
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