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Organization
DEERE ROAD CHIROPRACTIC LTD.
Active
Organization
DEERE ROAD CHIROPRACTIC LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIRGINIA ANN SCHWIEDER D.C. (DOCTOR OF CHIROPRACTIC)
(309) 736-7400
Entity
Organization
Contact information
Practice address
5202 38TH AVE, MOLINE, IL 61265-6722
(309) 736-7400
(309) 736-0361
Mailing address
5202 38TH AVE, MOLINE, IL 61265-6722
(309) 736-7400
(309) 736-0361
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038007883
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08130289
BLUE CROSS BLUE SHIELD
IL
01
—
1477120
FIRST HEALTH
IL
Enumeration date
04/21/2008
Last updated
05/02/2008
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