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Dr. Clinton M Smith, DC
Chiropractor in Breese, Illinois
NPI 1891791984

Clinton M Smith is a Chiropractor based in Breese, IL. Clinton M Smith practices in Breese, IL and has the professional credentials of DC. The NPI Number for Clinton M Smith is 1891791984 and holds a License No. 038-006246 (Illinois).

The current practice location address for Clinton M Smith is 14015 Jamestown Rd, Breese, IL and can be reached out via phone at 618-526-7732.

Location: 14015 Jamestown Rd, Breese, IL, 62230-3647
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891791984
Provider Name
Clinton M Smith
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
14015 Jamestown Rd, Breese, IL, 62230-3647
Phone Number
618-526-7732
Fax Number
Provider Enumeration Date
06/23/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
37-1365531 01 IL TAX ID
0001482004 01 IL BCBS IL
institution
Provider Business Practice Location Address Details
Address
14015 Jamestown Rd
City
Breese
State
Illinois
Zip
62230-3647
Phone Number
618-526-7732
Fax Number
person
Provider Business Mailing Address Details
Address
14015 Jamestown Rd
City
Breese
State
Illinois
Zip
62230-3647
Phone Number
618-526-7732
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
038-006246 (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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