| Carbondale Family Chiropractic Llc | |
|
695 N Giant City Rd Suite 2 Carbondale IL 62902-6405 | |
| (618) 967-9494 | |
| Not Available |
| Full Name | Carbondale Family Chiropractic Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 695 N Giant City Rd, Carbondale, Illinois |
| Authorized Official Name and Position | David Binversie (OWNER) |
| Authorized Official Contact | 6189679494 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carbondale Family Chiropractic Llc 141 Fishback Rd Carbondale IL 62901-6325 Ph: (618) 967-9494 | Carbondale Family Chiropractic Llc 695 N Giant City Rd Suite 2 Carbondale IL 62902-6405 Ph: (618) 967-9494 |
| NPI Number | 1902188857 |
|---|---|
| Provider Enumeration Date | 09/16/2011 |
| Last Update Date | 09/16/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902188857 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 038012019 (Illinois) | Primary |
The Carbondale Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2601 W Main St, Carbondale, IL 62901 Phone: 618-457-5200 Fax: 618-549-5128 | |
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