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Bushnell Chiropractic Center Sc

NPI #1790806636 in Bushnell, Illinois

Provider Information

NPI Number
1790806636
Entity Type
Organization
Organization Name
Bushnell Chiropractic Center Sc
Primary Specialty
Chiropractor
Enumeration Date
Apr 2, 2007
Last Updated
Oct 17, 2007

Practice Location

Address
448 COLE ST
City
Bushnell
State
Illinois
ZIP Code
61422-1540
Phone
(309) 772-2317

Authorized Official

Name
DR. KRISTOPHER WADE WAKEFIELD, DC
Title
OWNER
Phone
(309) 772-2317

Specialties & Taxonomy Codes

Specialty
Chiropractor

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