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Organization
RICHARD A OLSON
Active
Organization
RICHARD A OLSON
Active
Other names
Advanced Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD ALAN OLSON DC (OWNER)
(309) 688-7777
Entity
Organization
Contact information
Practice address
300 EAST WAR MEMORIAL DRIVE, SUITE 201, PEORIA, IL 61614
(309) 688-7777
(309) 688-7779
Mailing address
300 EAST WAR MEMORIAL DRIVE, SUITE 201, PEORIA, IL 61614
(309) 688-7777
(309) 688-7779
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007282057
BLUE CROSS BLUE SHIELD
IL
Enumeration date
11/28/2006
Last updated
08/22/2020
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