Individual
DR. DAVID RUSSELL WARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1125 N GALENA AVE, DIXON, IL 61021-1015
(815) 284-9355
(815) 284-9355
Mailing address
1125 N GALENA AVE, DIXON, IL 61021-1015
(815) 284-9355
(815) 284-9355
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-009227
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05232001
BLUE CROSS
IL
Enumeration date
08/15/2005
Last updated
11/16/2011
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