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Organization
THEA C. FLOCK, D.C., S.C.
Active
Organization
THEA C. FLOCK, D.C., S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THEA C FLOCK D.C. (PRESIDENT-OWNER)
(630) 771-9662
Entity
Organization
Contact information
Practice address
440 QUADRANGLE DR, SUITE E, BOLINGBROOK, IL 60440-3454
(630) 771-9662
(630) 771-9663
Mailing address
440 QUADRANGLE DR, SUITE E, BOLINGBROOK, IL 60440-3454
(630) 771-9662
(630) 771-9663
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
042.618103
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09932027
BCBS PROVIDER #
—
Enumeration date
01/22/2007
Last updated
10/22/2007
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