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Grady Matthew Birdsell, DC
Chiropractor in Moline, Illinois
NPI 1366545576

Grady Matthew Birdsell is a Chiropractor based in Moline, IL. Grady Matthew Birdsell practices in Moline, IL and has the professional credentials of DC. The NPI Number for Grady Matthew Birdsell is 1366545576 and holds a License No. (Illinois).

The current practice location address for Grady Matthew Birdsell is 1201 5Th Ave, Moline, IL and can be reached out via phone at 309-764-8821 and via fax at 309-757-4773.

Location: 1201 5Th Ave, Moline, IL, 61265-1331
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366545576
Provider Name
Grady Matthew Birdsell
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
1201 5Th Ave, Moline, IL, 61265-1331
Phone Number
309-764-8821
Fax Number
309-757-4773
Provider Enumeration Date
09/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8182020 01 IL BLUE CROSS BS
institution
Provider Business Practice Location Address Details
Address
1201 5Th Ave
City
Moline
State
Illinois
Zip
61265-1331
Phone Number
309-764-8821
Fax Number
309-757-4773
person
Provider Business Mailing Address Details
Address
1201 5Th Ave
City
Moline
State
Illinois
Zip
61265-1331
Phone Number
309-764-8821
Fax Number
309-757-4773
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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