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Organization
STRUCK CHIROPRACTIC LTD
Active
Organization
STRUCK CHIROPRACTIC LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK J STRUCK D.C. (PRESIDENT)
(618) 542-2197
Entity
Organization
Contact information
Practice address
30 N DIVISION ST, DU QUOIN, IL 62832-1406
(618) 542-2197
(618) 542-2198
Mailing address
PO BOX 1054, DU QUOIN, IL 62832-5054
(618) 542-2197
(618) 542-2198
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-002706
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
132389
HEALTH LINK
—
01
—
7382005
BLUE CROSS BLUE SHIELD
—
01
—
DG4021
PALMETTO RR MEDICARE
IL
Enumeration date
04/11/2007
Last updated
06/02/2008
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