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Individual
JEREMY TODD HAYES
Active
Individual
JEREMY TODD HAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038009219
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
038009219
STATE LICENSE
IL
01
—
1635702
BLUE CROSS ID #
IL
Enumeration date
06/14/2006
Last updated
07/21/2015
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