CRAWFORD CHIROPRACTIC, LTD.
Ambulatory Health at Main St, Robinson, IL

License number
Illinois 038012013
Category
Ambulatory Health
Type
Health Service
Owner
Name: DR. JARED MICHAEL GULLETT D.C.
Title: PRESIDENT
Phone: (618) 554-5132
Address
Address
2137 E Main St SUITE 2, Robinson, IL 62454
National Provider ID: 1649551078
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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CRAWFORD CHIROPRACTIC, LTD

Robinson, IL 62454

Status:
Inactive
Registration:
Aug 26, 2011
State ID:
67996003
Business type:
DOMESTIC BCA
Expiration:
PERPETUAL
Agent:
Jared Michael Gullett,2137 E Main St STE 2, Robinson, IL 62454 (Physical)

Ambulatory Health licenses in Illinois

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