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NPI Code Detail

MEDICARE: CHRISTOPHER GENE DINNING D.C.

MEDICARE: CHRISTOPHER GENE DINNING D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor06771IA
2111N00000XChiropractor038-010157IL

General Provider Information

NPI Number : 1043207673
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHER GENE DINNING D.C.
Provider Business Mailing Address
First Line : 704 S EAST ST
Second Line :
City : MOUNT CARROLL
State : IL
Zip : 61053-1460
Country : US
Telephone Number : 815-244-7746
Fax Number : 815-244-2011
Provider Business Practice Location Address
First Line : 704 S EAST ST
Second Line :
City : MOUNT CARROLL
State : IL
Zip : 61053-1460
Country : US
Telephone Number : 815-244-7746
Fax Number : 815-244-2011
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2005
Last Update Date : 01/26/2018

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