| NPI | 1316783178 |
|---|---|
| Doing Business As | CHAMPAIGN CHIROPRACTIC CLINIC |
| Entity Type | Organization |
| Authorized Contact | KEVIN DOUGLAS STACHNIK Owner/Doctor 217-355-5922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2024-07-02 |
| Last Update Date | 2024-09-16 |