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NPI Code Detail

MEDICARE: DR. CRYSTAL JAYNE STRODE DC

MEDICARE:  DR. CRYSTAL JAYNE STRODE  DC
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
1111N00000XChiropractor038.013133IL

General Provider Information

NPI Number : 1093231706
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CRYSTAL JAYNE STRODE DC
Provider Business Mailing Address
First Line : 411 SOUTH RD
Second Line :
City : CAMBRIDGE
State : IL
Zip : 61238-1402
Country : US
Telephone Number : 309-714-3483
Fax Number :
Provider Business Practice Location Address
First Line : 411 SOUTH RD
Second Line :
City : CAMBRIDGE
State : IL
Zip : 61238-1402
Country : US
Telephone Number : 309-714-3483
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2017
Last Update Date : 01/21/2019

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Directions to “ DR. CRYSTAL JAYNE STRODE DC” Practice Location

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