| Mangan Chiropractic Clinic, S.c. | |
|
1510 48th Street Pl, Moline, IL 61265-3637 | |
| (309) 797-4000 | |
| (309) 797-5041 |
| Full Name | Mangan Chiropractic Clinic, S.c. |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1510 48th Street Pl, Moline, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053634204 | NPI | - | NPPES |
| 038006108 | Medicaid | IL | |
| 08182055 | Other | IL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 038006108 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mangan Chiropractic Clinic, S.c. 1510 48th Street Pl, Moline, IL 61265-3637 Ph: (309) 797-4000 | Mangan Chiropractic Clinic, S.c. 1510 48th Street Pl, Moline, IL 61265-3637 Ph: (309) 797-4000 |
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