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Organization
WALTON CS XII PC
Active
Organization
WALTON CS XII PC
Active
Other names
May Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANE L. MAY D.C. (CHIROPRACTOR)
(618) 628-1111
Entity
Organization
Contact information
Practice address
715 LAKEPOINTE CENTRE DR, SUITE 127, O FALLON, IL 62269-3065
(618) 628-1111
(618) 628-9053
Mailing address
715 LAKEPOINTE CENTRE DR, SUITE 127, O FALLON, IL 62269-3065
(618) 628-1111
(618) 628-9053
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08232044
BLUE CROSS BLUE SHIELD
IL
Enumeration date
08/17/2007
Last updated
04/14/2008
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