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Organization
FREEDLUND FAMILY CHIROPRATIC LTD
Active
Organization
FREEDLUND FAMILY CHIROPRATIC LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JON S FREEDLUND (OFFICE MANAGER)
(815) 335-1381
Entity
Organization
Contact information
Practice address
119 S BENTON STREET, WINNEBAGO, IL 61088-8589
(815) 335-1381
(815) 335-7601
Mailing address
119 S BENTON STREET, WINNEBAGO, IL 61088-8589
(815) 335-1381
(815) 335-7601
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038009034
—
IL
01
—
10127625
BLUE CROSS BLUE SHIELD
IL
01
—
364484331
HEALTH SYSTEMS MANAGEMENT
IL
Enumeration date
07/18/2007
Last updated
05/02/2008
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