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John R Wasem Dc Pc
Chiropractor in Decatur, Illinois
NPI 1699894287

John R Wasem Dc Pc is a Chiropractor based in Decatur, IL. John R Wasem Dc Pc practices in Decatur, IL. The NPI Number for John R Wasem Dc Pc is 1699894287 and holds a License No. CHIROPRACTOR (Illinois).

The current practice location address for John R Wasem Dc Pc is 1358 N Oakland Ave, Decatur, IL and can be reached out via phone at 217-428-2322 and via fax at 217-428-1170.

Location: 1358 N Oakland Ave, Decatur, IL, 62526-3737
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1699894287
Provider Name
John R Wasem Dc Pc
Credential
Provider Entity Type
Organization
Address
1358 N Oakland Ave, Decatur, IL, 62526-3737
Phone Number
217-428-2322
Fax Number
217-428-1170
Provider Enumeration Date
03/28/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0005821789 01 IL BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
1358 N Oakland Ave
City
Decatur
State
Illinois
Zip
62526-3737
Phone Number
217-428-2322
Fax Number
217-428-1170
person
Provider Business Mailing Address Details
Address
1358 N Oakland Ave
City
Decatur
State
Illinois
Zip
62526-3737
Phone Number
217-428-2322
Fax Number
217-428-1170
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
CHIROPRACTOR (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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