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Organization
BRETON CHIROPRACTIC, LTD
Active
Organization
BRETON CHIROPRACTIC, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAWN M BRETON DC DABCI (PRESIDENT, CEO)
(847) 368-1234
Entity
Organization
Contact information
Practice address
815 E RAND RD, ARLINGTON HEIGHTS, IL 60004-4007
(847) 368-1234
(847) 603-7478
Mailing address
815 E RAND RD, ARLINGTON HEIGHTS, IL 60004-4007
(847) 368-1234
(847) 603-7478
Taxonomy
Speciality
Code
Description
License number
State
111NI0900X
Internist Chiropractor
Primary
038008779
IL
111NS0005X
Sports Physician Chiropractor
038.009584
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001635079
BLUE CROSS BLUE SHIELD
IL
01
—
211798
MEDICARE GROUP NUMBER
IL
Enumeration date
11/05/2007
Last updated
08/03/2024
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