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Individual

DR. DEAN R TROTTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
901 W GLEN AVE, SUITE A, PEORIA, IL 61614-4839
(309) 693-1212
(309) 693-2147
Mailing address
901 W GLEN AVE, SUITE A, PEORIA, IL 61614-4839
(309) 693-1212
(309) 693-2147

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-007597
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00034432
RAILROAD MEDICARE
IL
Enumeration date
01/25/2006
Last updated
09/11/2014
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