Healthcare Provider Details

I. General information

NPI: 1821347972
Provider Name (Legal Business Name): FLORA CHIROPRACTIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/05/2012
Last Update Date: 09/05/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

432 W NORTH AVE
FLORA IL
62839-1243
US

IV. Provider business mailing address

432 W NORTH AVE
FLORA IL
62839-1243
US

V. Phone/Fax

Practice location:
  • Phone: 618-662-2334
  • Fax: 618-662-2332
Mailing address:
  • Phone: 618-662-2334
  • Fax: 618-662-2332

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number038012169
License Number StateIL

VIII. Authorized Official

Name: DR. CHRISTOPHER PAUL MURBARGER
Title or Position: OWNER
Credential: D.C.
Phone: 618-662-2334