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Individual
DR. SHAUGHNESSY RODRICK REID
Active
Individual
DR. SHAUGHNESSY RODRICK REID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038.012875
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
92-1691334
TAX ID
IL
Enumeration date
01/25/2023
Last updated
01/04/2024
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