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Organization
THE DOCTORS INN
Active
Organization
THE DOCTORS INN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK COHEN D.C. (PRESIDENT)
(815) 254-0044
Entity
Organization
Contact information
Practice address
12337 S ROUTE 59, SUITE 119, PLAINFIELD, IL 60585-4625
(815) 254-0044
(815) 254-0880
Mailing address
12337 S ROUTE 59, SUITE 119, PLAINFIELD, IL 60585-4625
(815) 254-0044
(815) 254-0880
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9932222
BLUE SHEILD
IL
01
—
DE4564
RR
IL
Enumeration date
05/04/2007
Last updated
12/18/2007
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