Small Miracles Chiropractic Clinic Sc

NPI #1609129865 in Atlanta, Illinois

Provider Information

NPI Number: 1609129865
Entity Type: Organization
Organization Name: Small Miracles Chiropractic Clinic Sc
Primary Specialty: Chiropractor
Enumeration Date: Oct 24, 2012
Last Updated: Oct 24, 2012

Practice Location

Address: 110 SE VINE ST UNIT 2
City: Atlanta
State: Illinois
ZIP Code: 61723-7611
Phone: (217) 648-5555

Authorized Official

Name: DR. STACI MARIE HIERONYMUS KONG, D.C.
Title: CHIROPRACTIC PHYSICIAN
Phone: (217) 648-5555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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