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Dr. Brian David Penwell, DC
Chiropractor in Decatur, Illinois
NPI 1568436624

Brian David Penwell is a Chiropractor based in Decatur, IL. Brian David Penwell practices in Decatur, IL and has the professional credentials of DC. The NPI Number for Brian David Penwell is 1568436624 and holds a License No. (Illinois).

The current practice location address for Brian David Penwell is 2 N Country Club Rd, Decatur, IL and can be reached out via phone at 217-423-1500 and via fax at 217-423-1504.

Location: 2 N Country Club Rd, Decatur, IL, 62521-8853
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568436624
Provider Name
Brian David Penwell
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
2 N Country Club Rd, Decatur, IL, 62521-8853
Phone Number
217-423-1500
Fax Number
217-423-1504
Provider Enumeration Date
02/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5806100 01 IL BLUECROSS BLUESHIELD
institution
Provider Business Practice Location Address Details
Address
2 N Country Club Rd
City
Decatur
State
Illinois
Zip
62521-4161
Phone Number
217-423-1500
Fax Number
217-423-1504
person
Provider Business Mailing Address Details
Address
2 N Country Club Rd
City
Decatur
State
Illinois
Zip
62521-4161
Phone Number
217-423-1500
Fax Number
217-423-1504
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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