Creamean Chiropractic Clinic
Clinic/Center, Primary Care in Pontiac, IL. Organization (NPI-2).
NPI number1760664353
StatusActive
Last updated in NPPESDec 5, 2007
Details
- NPI
- 1760664353
- Entity type
- Organization (NPI-2)
- Legal business name
- Creamean Chiropractic Clinic
- Organization subpart
- No
- Enumeration date
- Dec 5, 2007
- Last updated
- Dec 5, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | 038-009217 | IL | Yes |
Practice location
820 W Howard StPontiac, IL 61764-1603
Phone 815-844-3803 · Fax 815-844-3803
Mailing address
820 W Howard StPontiac, IL 61764-1603
Phone 815-844-3803 · Fax 815-844-3803
Authorized official
Terry Lee Creamean
Chiropractic Physcian
8158443803
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