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Organization
WEBER MICETICH CHIROPRACTIC P.C.
Active
Organization
WEBER MICETICH CHIROPRACTIC P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULI WEBER-MICETICH DC (OWNER)
(815) 634-0445
Entity
Organization
Contact information
Practice address
24 E NORTH ST, COAL CITY, IL 60416-1087
(815) 634-0445
(815) 634-3188
Mailing address
24 E NORTH ST, COAL CITY, IL 60416-1087
(815) 634-0445
(815) 634-3188
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038007825
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
212905
MEDICARE PTAN
IL
01
—
3232036
BLUE CROSS BLUE SHIELD IL
IL
01
—
350054286
RAILROAD MEDICARE
IL
Enumeration date
03/23/2007
Last updated
04/21/2015
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