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Dr. Charles Robert Portwood, DC
Chiropractor in Scott Afb, Illinois
NPI 1689611576

Charles Robert Portwood is a Chiropractor based in Scott Afb, IL. Charles Robert Portwood practices in Scott Afb, IL and has the professional credentials of DC. The NPI Number for Charles Robert Portwood is 1689611576 and holds a License No. 6006 (Illinois).

The current practice location address for Charles Robert Portwood is 310 W Losey St, Scott Afb, IL and can be reached out via phone at 618-256-6267 and via fax at 618-256-7931.

Location: 310 W Losey St, Scott Afb, IL, 62225-5250
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689611576
Provider Name
Charles Robert Portwood
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
310 W Losey St, Scott Afb, IL, 62225-5250
Phone Number
618-256-6267
Fax Number
618-256-7931
Provider Enumeration Date
06/01/2006
Last Update Date
08/17/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
OTH000 01 IL CHIROPRACTIC PHYSICIAN
institution
Provider Business Practice Location Address Details
Address
310 W Losey St
City
Scott Afb
State
Illinois
Zip
62225-5250
Phone Number
618-256-6267
Fax Number
618-256-7931
person
Provider Business Mailing Address Details
Address
310 W Losey St
City
Scott Afb
State
Illinois
Zip
62225-5250
Phone Number
618-256-6267
Fax Number
618-256-7931
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
6006 (Missouri)
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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