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General NPI Number Information
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NPI Number | 1861604860
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Entity Type | Organization
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Legal Business Name | CHRISTOPHER J WOODROW, D.C., P.C.
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Dates
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Enumeration Date | 05/04/2007
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Last Update Date | 06/16/2008
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Provider Practice Location Address
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Address Line | 103 E ASHLAND AVE.
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City | MT. ZION
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State | IL
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Zip | 62549-1272
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Country | US
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Telephone | 217-864-5566
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Fax | 217-864-4497
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Provider Business Mailing Address
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Address Line | 103 E ASHLAND AVE.
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City | MT. ZION
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State | IL
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Zip | 62549-1272
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Country | US
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Telephone | 217-864-5566
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Fax | 217-864-4497
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CHRISTOPHER JOHN WOODROW
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Credential | D.C.
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Telephone | 217-864-5566
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 038006572
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License Number State | IL
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