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Organization
TRAKST, P.C.
Active
Organization
TRAKST, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RIMAS L. NOVICKIS D.C. (OWNER/PRESIDENT)
(708) 484-1111
Entity
Organization
Contact information
Practice address
6645 W. STANLEY AVE., BERWYN, IL 60402-3128
(708) 484-1111
(708) 484-1112
Mailing address
6645 W. STANLEY AVE., BERWYN, IL 60402-3128
(708) 484-1111
(708) 484-1112
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038.007357
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1625550
BCBS IL
IL
Enumeration date
04/27/2009
Last updated
04/27/2009
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