| Bloomington Chiropractic Center, Ltd. | |
|
409 S Prospect Rd Suite A Bloomington IL 61704-4581 | |
| (309) 663-8388 | |
| (309) 663-0929 |
| Full Name | Bloomington Chiropractic Center, Ltd. |
|---|---|
| Speciality | Clinic/center |
| Location | 409 S Prospect Rd, Bloomington, Illinois |
| Authorized Official Name and Position | John M Everingham (SENIOR ASSOICATE) |
| Authorized Official Contact | 3096638388 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bloomington Chiropractic Center, Ltd. 409 S Prospect Rd Suite A Bloomington IL 61704-4581 Ph: (309) 663-8388 | Bloomington Chiropractic Center, Ltd. 409 S Prospect Rd Suite A Bloomington IL 61704-4581 Ph: (309) 663-8388 |
| NPI Number | 1487833992 |
|---|---|
| Provider Enumeration Date | 10/31/2007 |
| Last Update Date | 10/31/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487833992 | NPI | - | NPPES |
| 5715397 | Other | IL | BLUE CROSS / BLUE SHIED |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 060002911- 038007235 (Illinois) | Primary |
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