GRPC WELLNESS CLINIC SC
Anesthesiologist Assistant at Harris Ave, Ayers, IL

License number
Illinois 038.010373
Category
Medical Practice
Type
Physical Medicine & Rehabilitation
License number
Illinois 038.010373
Category
Chiropractic
Type
Rehabilitation
Owner
Name: DR. MATTHEW R CHENAULT DC
Title: OWNER/CEO
Phone: (618) 664-4600
Address
Address
1105 E Harris Ave, Ayers, IL 62246
National Provider ID: 1366861155
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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GRPC WELLNESS CLINIC S.C

Greenville, IL 62246

Registration:
Mar 28, 2014
State ID:
69352456
Business type:
DOMESTIC BCA
Expiration:
PERPETUAL
Agent:
Matthew Chenault,1105 East Harris Ave, Greenville, IL 62246 (Physical)

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