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Individual
DR. CHARLES E. KOESTER
Active
Individual
DR. CHARLES E. KOESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038.010812
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038010812
—
IL
01
—
215015
MEDICARE GROUP #
IL
01
—
K37019
MEDICARE PROVIDER #
IL
Enumeration date
11/22/2006
Last updated
11/19/2008
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