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Dr. Gary Lane Benedict, DC
Chiropractor in Marissa, Illinois
NPI 1235261066

Gary Lane Benedict is a Chiropractor based in Marissa, IL. Gary Lane Benedict practices in Marissa, IL and has the professional credentials of DC. The NPI Number for Gary Lane Benedict is 1235261066 and holds a License No. (Illinois).

The current practice location address for Gary Lane Benedict is 112 N Main St, Marissa, IL and can be reached out via phone at 618-295-2268. You can also correspond with Gary Lane Benedict through the mailing address at 112 N MAIN ST, MARISSA, IL - 62257-1342 (mailing address contact number: 618-295-2268).

Location: 112 N Main St, Marissa, IL, 62257-1342
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235261066
Provider Name
Gary Lane Benedict
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
112 N Main St, Marissa, IL, 62257-1342
Phone Number
618-295-2268
Fax Number
Provider Enumeration Date
03/09/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
112 N Main St
City
Marissa
State
Illinois
Zip
62257-1342
Phone Number
618-295-2268
Fax Number
person
Provider Business Mailing Address Details
Address
112 N Main St
City
Marissa
State
Illinois
Zip
62257-1342
Phone Number
618-295-2268
Fax Number
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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