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Bly Chiropractic Clinic, P.c.
Chiropractor in Bloomington, Illinois
NPI 1245423748

Bly Chiropractic Clinic, P.c. is a Chiropractor based in Bloomington, IL. Bly Chiropractic Clinic, P.c. practices in Bloomington, IL. The NPI Number for Bly Chiropractic Clinic, P.c. is 1245423748 and holds a License No. (Illinois).

The current practice location address for Bly Chiropractic Clinic, P.c. is 2501 E College Ave, Bloomington, IL and can be reached out via phone at 309-661-1155 and via fax at 309-661-1043.

Location: 2501 E College Ave, Bloomington, IL, 61704-2484
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1245423748
Provider Name
Bly Chiropractic Clinic, P.c.
Credential
Provider Entity Type
Organization
Address
2501 E College Ave, Bloomington, IL, 61704-2484
Phone Number
309-661-1155
Fax Number
309-661-1043
Provider Enumeration Date
08/20/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
05715393 01 IL BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
2501 E College Ave
City
Bloomington
State
Illinois
Zip
61704-2484
Phone Number
309-661-1155
Fax Number
309-661-1043
person
Provider Business Mailing Address Details
Address
2501 E College Ave
City
Bloomington
State
Illinois
Zip
61704-2484
Phone Number
309-661-1155
Fax Number
309-661-1043
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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