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Organization
THOMAS A BROZOVICH DC PC
Active
Organization
THOMAS A BROZOVICH DC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS A BROZOVICH D.C. (OWNER)
(309) 788-3636
Entity
Organization
Contact information
Practice address
2514 24TH ST, ROCK ISLAND, IL 61201-5304
(309) 788-3636
(309) 788-3638
Mailing address
2514 24TH ST, ROCK ISLAND, IL 61201-5304
(309) 788-3636
(309) 788-3638
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038004582
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038004582
—
IL
05
—
05-03755
—
IA
01
—
08115270
BCBS ILLINOIS
IL
01
—
91262
WELLMARK
IA
Enumeration date
03/04/2011
Last updated
03/04/2011
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