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Organization
RONALD K WASSENAR
Active
Organization
RONALD K WASSENAR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD K WASSENAR D.C. (OWNER)
(708) 562-9200
Entity
Organization
Contact information
Practice address
10526 W CERMAK RD, SUITE 104, WESTCHESTER, IL 60154-5249
(708) 562-9200
(708) 562-9207
Mailing address
10526 W CERMAK RD, SUITE 104, WESTCHESTER, IL 60154-5249
(708) 562-9200
(708) 562-9207
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
113554250227
HUMANA
—
01
—
1682731
BC/BS
IL
01
—
5044243
AETNA
IL
01
—
769657
COVENTRY HEALTHCARE
—
Enumeration date
03/31/2006
Last updated
10/15/2007
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