Organization · Type 2 NPI
Southpark Chiropractic Wellness Center, LLC
Primary Care Clinic/Center · Moline, IL
NPI number
1972893121
Active
Practice location
1529 46th Ave, Suite 4
Moline, IL 61265-7084
Fax (309) 757-7111
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | 038011683 (IL) |
Primary Care Clinic/Center: Definition to come...
Other primary care clinic/center providers in Moline
About NPI 1972893121
Southpark Chiropractic Wellness Center, LLC's National Provider Identifier is 1972893121, issued on Apr 8, 2011. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Moline, IL. The record was last updated on Apr 8, 2011.