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Organization
BLOOMBERG CHIROPRACTIC CENTER
Active
Organization
BLOOMBERG CHIROPRACTIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID SCOTT BLOOMBERG D.C. (OWNER)
(618) 783-2424
Entity
Organization
Contact information
Practice address
1905 W JOURDAN ST, NEWTON, IL 62448-2025
(618) 783-2424
(618) 783-8457
Mailing address
1905 W JOURDAN ST, NEWTON, IL 62448-2025
(618) 783-2424
(618) 783-8457
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
003-005963
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003-005963
—
IL
01
—
178-982
HEALTHLINK
IL
01
—
4015001
BLUE CROSS BLUE SHIELD
IL
Enumeration date
06/17/2008
Last updated
06/17/2008
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