Bloomington-Normal Spine Clinic,pc
Chiropractor in Bloomington, IL. Organization (NPI-2).
NPI number1083000970
StatusActive
Last updated in NPPESJun 4, 2015
Details
- NPI
- 1083000970
- Entity type
- Organization (NPI-2)
- Legal business name
- Bloomington-Normal Spine Clinic,pc
- Organization subpart
- No
- Enumeration date
- Apr 8, 2015
- Last updated
- Jun 4, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 038005506 | IL | Yes |
Other names
- Normal Spine Clinic (Other Name)
Practice location
2405 Ge Rd#3
Bloomington, IL 61704-8596
Phone 309-661-2725 · Fax 309-661-2730
Mailing address
2405 G.E.Road#3
Bloomington, IL 61704-8597
Phone 309-661-2725 · Fax 309-661-2730
Authorized official
Steve K Schimelpfenig
Owner
3096612725
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