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Organization
KATIE J BURMEISTER
Active
Organization
KATIE J BURMEISTER
Active
Other names
Back to Action Chiropractic Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATIE JEANNINE BURMEISTER D.C. (OWNER)
(618) 662-4828
Entity
Organization
Contact information
Practice address
809 N MAIN ST, FLORA, IL 62839-1033
(618) 662-4828
(618) 662-4830
Mailing address
PO BOX 603, FLORA, IL 62839-0603
(618) 662-4828
(618) 662-4830
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01332001
BLUECROSS BLUESHIELD
IL
Enumeration date
04/16/2008
Last updated
04/20/2008
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