DANE JACK CHURCH

SPRINGFIELD, IL
NPI1790128387
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery
(Licence: IL  036148467)
Enumeration Date2013-04-12
Last Update Date2020-04-13
Business Address
DANE JACK CHURCH MD
1301 S KOKE MILL RD
SPRINGFIELD, IL 62711-9252
Phone number: 217-547-9100
Mailing Address
DANE JACK CHURCH MD
1301 S KOKE MILL RD
SPRINGFIELD, IL 62711-9252
Phone number: 217-547-9100
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