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Organization
POPP FAMILY CHIROPRACTIC P C
Active
Organization
POPP FAMILY CHIROPRACTIC P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RITA MARIA POPP (OFFICE MANAGER/SPOUSE)
(708) 922-1883
Entity
Organization
Contact information
Practice address
1938 RIDGE RD, HOMEWOOD, IL 60430-1730
(708) 922-1883
(866) 204-3818
Mailing address
1938 RIDGE RD, HOMEWOOD, IL 60430-1730
(708) 922-1883
(866) 204-8818
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-007440
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01626928
BLUE CROSS BLUE SHIELD INSURANCE
IL
Enumeration date
04/17/2009
Last updated
06/17/2009
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