Provider Demographics
NPI:1164964144
Name:SPURLOCK, PATRICIA J (DC)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:J
Last Name:SPURLOCK
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1401 W CLINTON AVE
Mailing Address - Street 2:
Mailing Address - City:FARMER CITY
Mailing Address - State:IL
Mailing Address - Zip Code:61842-1392
Mailing Address - Country:US
Mailing Address - Phone:309-928-2222
Mailing Address - Fax:309-928-2422
Practice Address - Street 1:1401 W CLINTON AVE
Practice Address - Street 2:
Practice Address - City:FARMER CITY
Practice Address - State:IL
Practice Address - Zip Code:61842-1392
Practice Address - Country:US
Practice Address - Phone:309-928-2222
Practice Address - Fax:309-928-2422
Is Sole Proprietor?:No
Enumeration Date:2016-11-08
Last Update Date:2016-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038008171111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor