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Dr. Randy Laverne Klinedinst, DC
Chiropractor in Canton, Illinois
NPI 1659419331

Randy Laverne Klinedinst is a Chiropractor based in Canton, IL. Randy Laverne Klinedinst practices in Canton, IL and has the professional credentials of DC. The NPI Number for Randy Laverne Klinedinst is 1659419331 and holds a License No. 038-004195 (Illinois).

The current practice location address for Randy Laverne Klinedinst is 106 Martin Ave, Canton, IL and can be reached out via phone at 309-647-8030 and via fax at 309-647-5902.

Location: 106 Martin Ave, Canton, IL, 61520-2519
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659419331
Provider Name
Randy Laverne Klinedinst
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
106 Martin Ave, Canton, IL, 61520-2519
Phone Number
309-647-8030
Fax Number
309-647-5902
Provider Enumeration Date
02/02/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2982004 01 IL BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
106 Martin Ave
City
Canton
State
Illinois
Zip
61520-2519
Phone Number
309-647-8030
Fax Number
309-647-5902
person
Provider Business Mailing Address Details
Address
106 Martin Ave
City
Canton
State
Illinois
Zip
61520-2519
Phone Number
309-647-8030
Fax Number
309-647-5902
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
038-004195 (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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