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Organization
OAK CREEK HEALTHCARE, LTD
Active
Organization
OAK CREEK HEALTHCARE, LTD
Active
Other names
Twin Oaks Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANDREA MARIE DEWASME D.C. (CHIROPRACTOR)
(815) 416-1132
Entity
Organization
Contact information
Practice address
1526 CREEK DR, MORRIS, IL 60450-6862
(815) 416-1132
(815) 416-1135
Mailing address
1526 CREEK DR, MORRIS, IL 60450-6862
(815) 416-1132
(815) 416-1135
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
042.618215
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3232011
BLUE CROSS BLUE SHIELD
IL
Enumeration date
03/21/2007
Last updated
04/04/2013
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