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Individual
DR. RYAN THOMAS DUROCHER
Active
Individual
DR. RYAN THOMAS DUROCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-009110
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08432102
BCBS
IL
01
—
666373
UNITED HEALTHCARE
IL
01
—
P00331729
RAILROAD MEDICARE
IL
Enumeration date
07/27/2005
Last updated
11/16/2022
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