Provider Demographics
NPI:1851637581
Name:STRATTON CHIROPRACTIC CENTER LTD
Entity Type:Organization
Organization Name:STRATTON CHIROPRACTIC CENTER LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ZACHARY
Authorized Official - Middle Name:
Authorized Official - Last Name:HUBNER
Authorized Official - Suffix:
Authorized Official - Credentials:D,C
Authorized Official - Phone:217-224-4500
Mailing Address - Street 1:1515 BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:QUINCY
Mailing Address - State:IL
Mailing Address - Zip Code:62301-2815
Mailing Address - Country:US
Mailing Address - Phone:217-224-4500
Mailing Address - Fax:217-224-0409
Practice Address - Street 1:1515 BROADWAY ST
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:IL
Practice Address - Zip Code:62301-2815
Practice Address - Country:US
Practice Address - Phone:217-224-4500
Practice Address - Fax:217-224-0409
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-28
Last Update Date:2012-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038011286111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty