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Dr. Bradley Jack Polen, DC
Chiropractor in Wood River, Illinois
NPI 1043894165

Bradley Jack Polen is a Chiropractor based in Wood River, IL. Bradley Jack Polen practices in Wood River, IL and has the professional credentials of DC. The NPI Number for Bradley Jack Polen is 1043894165 and holds a License No. 2021016090 (Illinois).

The current practice location address for Bradley Jack Polen is 203 S 6Th St, Wood River, IL and can be reached out via phone at 618-254-9355 and via fax at 618-254-9351.

Location: 203 S 6Th St, Wood River, IL, 62095-2345
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043894165
Provider Name
Bradley Jack Polen
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
203 S 6Th St, Wood River, IL, 62095-2345
Phone Number
618-254-9355
Fax Number
618-254-9351
Provider Enumeration Date
05/06/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
203 S 6Th St
City
Wood River
State
Illinois
Zip
62095-2345
Phone Number
618-254-9355
Fax Number
618-254-9351
person
Provider Business Mailing Address Details
Address
203 S 6Th St
City
Wood River
State
Illinois
Zip
62095-2345
Phone Number
618-254-9355
Fax Number
618-254-9351
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
2021016090 (Missouri)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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