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Individual
DR. RICHARD STAVROS MENTO
Active
Individual
DR. RICHARD STAVROS MENTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
A5287
IA
111N00000X
Chiropractor
DC004823L
PA
111N00000X
Chiropractor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0930446
—
IA
01
—
8126564
BCBS OF ILLINOIS
IL
01
—
8182044
BCBS OF ILLINOIS
IL
Enumeration date
10/03/2007
Last updated
10/03/2007
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