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Dr. Michael W Sample, DC
Chiropractor in Manteno, Illinois
NPI 1326006396

Michael W Sample is a Chiropractor based in Manteno, IL. Michael W Sample practices in Manteno, IL and has the professional credentials of DC. The NPI Number for Michael W Sample is 1326006396 and holds a License No. (Illinois).

The current practice location address for Michael W Sample is 51 N Main St, Manteno, IL and can be reached out via phone at 815-468-7787 and via fax at 815-468-0154.

Location: 51 N Main St, Manteno, IL, 60950-1534
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326006396
Provider Name
Michael W Sample
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
51 N Main St, Manteno, IL, 60950-1534
Phone Number
815-468-7787
Fax Number
815-468-0154
Provider Enumeration Date
05/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4619978 01 IL BC/BS PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
51 N Main St
City
Manteno
State
Illinois
Zip
60950-1534
Phone Number
815-468-7787
Fax Number
815-468-0154
person
Provider Business Mailing Address Details
Address
51 N Main St
City
Manteno
State
Illinois
Zip
60950-1534
Phone Number
815-468-7787
Fax Number
815-468-0154
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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