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Individual
STEVEN TIRABASSO
Active
Individual
STEVEN TIRABASSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004532069
BCBS PROVIDER #
IL
Enumeration date
02/21/2007
Last updated
07/09/2007
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