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Organization
TROTTER CHIROPRACTIC OFFICE, P.C.
Active
Organization
TROTTER CHIROPRACTIC OFFICE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEAN R TROTTER D.C. (CHIROPRACTOR)
(309) 693-1212
Entity
Organization
Contact information
Practice address
901 W GLEN AVE, SUITE A, PEORIA, IL 61614-4839
(309) 693-1212
(309) 693-2147
Mailing address
901 W GLEN AVE, SUITE A, PEORIA, IL 61614-4839
(309) 693-1212
(309) 693-2147
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
060008337
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07232050
BLUE CROSS BLUE SHIELD
IL
Enumeration date
10/12/2006
Last updated
09/11/2014
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