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Organization
AMA CHIROPRACTIC ALTERNATIVE SERVICES PC
Active
Organization
AMA CHIROPRACTIC ALTERNATIVE SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FAROOK MUHIUDDIN DC (PRESIDENT)
(618) 288-7518
Entity
Organization
Contact information
Practice address
340 SOUTH FILLMORE ST, EDWARDSVILLE, IL 62025
(618) 692-9763
(618) 692-9772
Mailing address
38 COBBLESTONE LN, GLEN CARBON, IL 62034-1496
(618) 288-7518
(618) 692-9772
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06032164
BCBS
IL
01
—
202370
BCBS
MO
01
—
5675679
FIRST HEALTH
IL
01
—
672256
UHC
IL
01
—
719909
HEALTHLINK
IL
01
—
7233470
AETNA
IL
01
—
9516006
CIGNA
IL
01
—
POO264483
RRMEDICARE
IL
Enumeration date
06/01/2007
Last updated
08/22/2020
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