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Organization
MINOOKA FAMILY CHIROPRACTIC, PC
Active
Organization
MINOOKA FAMILY CHIROPRACTIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOANN L. MARUSZAK D.C. (OWNER/PHYSICIAN)
(815) 467-0339
Entity
Organization
Contact information
Practice address
524 W MONDAMIN ST, MINOOKA, IL 60447-9394
(815) 467-0339
Mailing address
524 W MONDAMIN ST, MINOOKA, IL 60447-9394
(815) 467-0339
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038007938
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03207464
BLUE CROSS BLUE SHIELD
IL
Enumeration date
03/01/2006
Last updated
06/21/2012
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