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Organization
TEEL CHIROPRACTIC CLINIC, LTD.
Active
Organization
TEEL CHIROPRACTIC CLINIC, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIE SUZANNE TEEL D.C. (PRESIDENT)
(618) 439-7171
Entity
Organization
Contact information
Practice address
509 W MAIN ST, BENTON, IL 62812-1328
(618) 439-7171
(618) 439-6151
Mailing address
509 W MAIN ST, BENTON, IL 62812-1328
(618) 439-7171
(618) 439-6151
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
038009609
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
226906
GHP
—
01
—
2832008
BLUE CROSS BLUE SHIELD
IL
01
—
626640
HEALTH LINK
—
01
—
730179
CIGNA
—
Enumeration date
07/20/2010
Last updated
07/20/2010
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