Dr. Mark G Sprague, DC
Chiropractor in Quincy, IL. Individual provider (NPI-1).
NPI number1790799153
StatusActive
Last updated in NPPESAug 25, 2011
Details
- NPI
- 1790799153
- Entity type
- Individual (NPI-1)
- Name
- Dr. Mark G Sprague
- Credential
- DC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 28, 2006
- Last updated
- Aug 25, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 038-004126 | IL | Yes |
Practice location
1420 S 14th StQuincy, IL 62301-6722
Phone 217-228-9000
Mailing address
1420 S 14th StQuincy, IL 62301-6722
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