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Charles E Fandel, DC
Chiropractor in Galesburg, Illinois
NPI 1902096647

Charles E Fandel is a Chiropractor based in Wausau, IL. Charles E Fandel practices in Galesburg, IL and has the professional credentials of DC. The NPI Number for Charles E Fandel is 1902096647 and holds a License No. 038010920 (Illinois).

The current practice location address for Charles E Fandel is 1580 E Knox St, Galesburg, IL and can be reached out via phone at 309-343-4418 and via fax at 309-343-4426.

Location: 1580 E Knox St, Galesburg, IL, 54401-3958
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902096647
Provider Name
Charles E Fandel
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
1580 E Knox St, Galesburg, IL, 54401-3958
Phone Number
309-343-4418
Fax Number
309-343-4426
Provider Enumeration Date
07/30/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
07232019 01 IL BLUE CROSS/BLUE SHIELD
038010920 05 IL
institution
Provider Business Practice Location Address Details
Address
1580 E Knox St
City
Galesburg
State
Illinois
Zip
61401-5300
Phone Number
309-343-4418
Fax Number
309-343-4426
person
Provider Business Mailing Address Details
Address
1580 E Knox St
City
Galesburg
State
Illinois
Zip
61401-5300
Phone Number
309-343-4418
Fax Number
309-343-4426
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
038010920 (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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