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Individual
DR. THEA C FLOCK
Active
Individual
DR. THEA C FLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038.008004
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09932027
BCBS PROVIDER #
IL
Enumeration date
01/22/2007
Last updated
09/22/2015
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