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Dr. Robert L Wise, DC
Chiropractor in Mount Vernon, Illinois
NPI 1215028329

Robert L Wise is a Chiropractor based in Mount Vernon, IL. Robert L Wise practices in Mount Vernon, IL and has the professional credentials of DC. The NPI Number for Robert L Wise is 1215028329 and holds a License No. (Illinois).

The current practice location address for Robert L Wise is 329 Broadway St, Mount Vernon, IL and can be reached out via phone at 618-244-3370 and via fax at 618-244-3395.

Location: 329 Broadway St, Mount Vernon, IL, 62864-5115
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215028329
Provider Name
Robert L Wise
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
329 Broadway St, Mount Vernon, IL, 62864-5115
Phone Number
618-244-3370
Fax Number
618-244-3395
Provider Enumeration Date
09/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8421484 01 IL BLUE CROSS/BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
329 Broadway St
City
Mount Vernon
State
Illinois
Zip
62864-5115
Phone Number
618-244-3370
Fax Number
618-244-3395
person
Provider Business Mailing Address Details
Address
329 Broadway St
City
Mount Vernon
State
Illinois
Zip
62864-5115
Phone Number
618-244-3370
Fax Number
618-244-3395
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
(Illinois)
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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