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Individual
TODD H CLANAHAN
Active
Individual
TODD H CLANAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038008668
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09022697
BLUE CROSS BLUE SHIELD
IL
01
—
3500559154
RAILROAD MEDICARE
IL
Enumeration date
08/03/2006
Last updated
10/19/2016
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