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Dr. Michael Wayne Childress, DC
Chiropractor in Johnston City, Illinois
NPI 1518155886

Michael Wayne Childress is a Chiropractor based in Johnston City, IL. Michael Wayne Childress practices in Johnston City, IL and has the professional credentials of DC. The NPI Number for Michael Wayne Childress is 1518155886 and holds a License No. 038011140 (Illinois).

The current practice location address for Michael Wayne Childress is 217 E Broadway Blvd, Johnston City, IL and can be reached out via phone at 618-983-3900 and via fax at 618-983-3900.

Location: 217 E Broadway Blvd, Johnston City, IL, 62951-1604
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518155886
Provider Name
Michael Wayne Childress
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
217 E Broadway Blvd, Johnston City, IL, 62951-1604
Phone Number
618-983-3900
Fax Number
618-983-3900
Provider Enumeration Date
10/11/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
217 E Broadway Blvd
City
Johnston City
State
Illinois
Zip
62951-1604
Phone Number
618-983-3900
Fax Number
618-983-3900
person
Provider Business Mailing Address Details
Address
217 E Broadway Blvd
City
Johnston City
State
Illinois
Zip
62951-1604
Phone Number
618-983-3900
Fax Number
618-983-3900
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
038011140 (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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