Organization · Type 2 NPI

Bloomington-Normal Spine Clinic,pc

Chiropractor · Bloomington, IL

NPI number 1083000970 Active

Practice location

2405 Ge Rd, #3
Bloomington, IL 61704-8596

Call (309) 661-2725 Map

Fax (309) 661-2730

Mailing address

2405 G.e.road, #3
Bloomington, IL 61704-8597

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X038005506 (IL)

Chiropractor: 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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About NPI 1083000970

Bloomington-Normal Spine Clinic,pc's National Provider Identifier is 1083000970, issued on Apr 8, 2015. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Bloomington, IL. The record was last updated on Jun 4, 2015.