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Organization
RICHARD S. HYDE, SC
Active
Organization
RICHARD S. HYDE, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD S HYDE DC (OWNER)
(630) 665-0788
Entity
Organization
Contact information
Practice address
416 E ROOSEVELT RD, #108, WHEATON, IL 60187-5589
(630) 665-0788
Mailing address
416 E ROOSEVELT RD, #108, WHEATON, IL 60187-5589
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-009095
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0002227038
BLUE CROSS BLUE SHIELD
IL
Enumeration date
03/14/2006
Last updated
10/18/2013
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