Individual
BRENNEN BLEDSOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3 PARK PL # B, SWANSEA, IL 62226-2965
(618) 236-3600
Mailing address
102 FOXBRUSH DR, BELLEVILLE, IL 62221-4563
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038.014412
IL
Other
Enumeration date
01/05/2026
Last updated
01/05/2026
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