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Dr. John Roger Green, DC
Chiropractor in Galva, Illinois
NPI 1821199381

John Roger Green is a Chiropractor based in Galva, IL. John Roger Green practices in Galva, IL and has the professional credentials of DC. The NPI Number for John Roger Green is 1821199381 and holds a License No. 038-009663 (Illinois).

The current practice location address for John Roger Green is 212 1/2 Nw 1St St, Galva, IL and can be reached out via phone at 309-932-8505 and via fax at 309-932-8505.

Location: 212 1/2 Nw 1St St, Galva, IL, 61434-1380
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821199381
Provider Name
John Roger Green
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
212 1/2 Nw 1St St, Galva, IL, 61434-1380
Phone Number
309-932-8505
Fax Number
309-932-8505
Provider Enumeration Date
09/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3732006 01 IL BLUE CROSS PROVIDER NO.
institution
Provider Business Practice Location Address Details
Address
212 1/2 Nw 1St St
City
Galva
State
Illinois
Zip
61434-1380
Phone Number
309-932-8505
Fax Number
309-932-8505
person
Provider Business Mailing Address Details
Address
212 1/2 Nw 1St St
City
Galva
State
Illinois
Zip
61434-1380
Phone Number
309-932-8505
Fax Number
309-932-8505
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
038-009663 (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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