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Organization
DR THOMAS M KOVACIK
Active
Organization
DR THOMAS M KOVACIK
Active
Other names
Knox County Chiropractic Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS MICHAEL KOVACIK DC (OWNER)
(309) 342-9147
Entity
Organization
Contact information
Practice address
1128 MONROE STREET, GALESBURG, IL 61401
(309) 342-9147
(309) 342-9147
Mailing address
1128 MONROE STREET, GALESBURG, IL 61401
(309) 342-9147
(309) 342-9147
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038003797
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04832003
BCBS
—
01
—
791350632
RR MEDICARE
—
Enumeration date
08/31/2006
Last updated
07/15/2008
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