VUAGNIAUX UPPER CERVICAL, LLC
Chiropractic at Ginger Creek Pkwy, Glen Carbon, IL

License number
Illinois 038-007437
Category
Chiropractic
Type
Chiropractor
Owner
Name: DR. THAD S VUAGNIAUX D.C
Title: MEMBER, OWNER
Phone: (618) 692-6992
Address
Address
20 Ginger Creek Pkwy, Glen Carbon, IL 62034
National Provider ID: 1427344183
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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VUAGNIAUX UPPER CERVICAL, LLC

20 Ginger Crk Pkwy, Glen Carbon, IL 62034

Registration:
Jul 31, 2014
State ID:
M14000005478
Business type:
Foreign Limited Liability Company
S:
Thad S Vuagniaux, 20 Ginger Crk Pkwy, Glen Carbon, IL 62034 (Physical),Nikki R Vuagniaux, 20 Ginger Crk Pkwy, Glen Carbon, IL 62034 (Physical)
Agent:
Knecht, Michael,12651 Mcgregor Blvd, Fort Myers, FL 33919 (Physical)
EIN:
36-4703164

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