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Individual
RICHARD W ZIMMERMAN
Active
Individual
RICHARD W ZIMMERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038007421
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038007421
—
IL
01
—
07308609
BLUE CROSS BLUE SHIELD
IL
Enumeration date
08/21/2006
Last updated
05/21/2008
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