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De Wild Chiropractic Center, Inc
Chiropractor in Red Bud, Illinois
NPI 1912054677

De Wild Chiropractic Center, Inc is a Chiropractor based in Red Bud, IL. De Wild Chiropractic Center, Inc practices in Red Bud, IL. The NPI Number for De Wild Chiropractic Center, Inc is 1912054677 and holds a License No. (Illinois).

The current practice location address for De Wild Chiropractic Center, Inc is 930 W Market St, Red Bud, IL and can be reached out via phone at 618-282-3900 and via fax at 618-282-3971.

Location: 930 W Market St, Red Bud, IL, 62278-1006
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1912054677
Provider Name
De Wild Chiropractic Center, Inc
Credential
Provider Entity Type
Organization
Address
930 W Market St, Red Bud, IL, 62278-1006
Phone Number
618-282-3900
Fax Number
618-282-3971
Provider Enumeration Date
01/04/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7932010 01 IL BCBS
671268 01 IL UHC
institution
Provider Business Practice Location Address Details
Address
930 W Market St
City
Red Bud
State
Illinois
Zip
62278-1006
Phone Number
618-282-3900
Fax Number
618-282-3971
person
Provider Business Mailing Address Details
Address
930 W Market St
City
Red Bud
State
Illinois
Zip
62278-1006
Phone Number
618-282-3900
Fax Number
618-282-3971
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
(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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