| Sooley Chiropractic, Ltd | |
|
11 E Fairchild St, Danville, IL 61832-3140 | |
| (217) 431-3290 | |
| Not Available |
| Full Name | Sooley Chiropractic, Ltd |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 11 E Fairchild St, Danville, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689783680 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 038-008299 (Illinois) | Primary |
| Provider Name | George R Sooley |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1396854436 PECOS PAC ID: 0446211072 Enrollment ID: I20041027000324 |
| Mailing Address | Practice Location Address |
|---|---|
| Sooley Chiropractic, Ltd 11 E Fairchild St, Danville, IL 61832-3140 Ph: (217) 477-7019 | Sooley Chiropractic, Ltd 11 E Fairchild St, Danville, IL 61832-3140 Ph: (217) 431-3290 |
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