Individual provider · Type 1 NPI
Matthew Mangold, DC
Chiropractor · Bloomington, IL
NPI number
1679071393
Active
Practice location
2710 E Lincoln St Ste A
Bloomington, IL 61704-6010
Mailing address
2406 E Washington St
Bloomington, IL 61704-4410
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 038013169 (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.
3 other providers at this address
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About NPI 1679071393
Matthew Mangold, DC's National Provider Identifier is 1679071393, issued on Jan 28, 2018. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Bloomington, IL. The record was last updated on Aug 6, 2024.