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Individual
DR. JUSTIN KEITH THORPE
Active
Individual
DR. JUSTIN KEITH THORPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD,DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
038-010493
IL
207Q00000X
Family Medicine Physician
Primary
125.080018
IL
207Q00000X
Family Medicine Physician
125080018
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038010493
—
IL
01
—
134314368
TAX ID
IL
01
—
744343
HEALTHLINK
IL
01
—
8332029
BCBS OF IL
IL
01
—
P00314027
PIN
IL
Enumeration date
10/23/2006
Last updated
11/02/2023
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