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Individual
DR. TERESA G PECK
Active
Individual
DR. TERESA G PECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038003972
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0008182018
BCBS
—
05
—
038003972
—
IL
01
—
350039076
RAILROAD MEDICARE
IL
Enumeration date
07/25/2006
Last updated
01/09/2008
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