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Individual
DR. PATRICK KOMESHAK
Active
Individual
DR. PATRICK KOMESHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038008047
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038008047
—
IL
01
—
08221308
BCBS ILLINOIS
IL
01
—
104259
GHP GROUP
—
01
—
104260
GHP
—
01
—
111586
BCBS MISSOURI
MO
01
—
371371791
TRICARE
—
01
—
375120
HEALTHLINK
—
01
—
4400415
UHC
—
01
—
7083136
AETNA
—
01
—
DD4196
MEDICARE RAILROAD GROUP
—
01
—
U66933
MERCY
—
Enumeration date
04/20/2006
Last updated
03/15/2019
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