Individual
KRISTOPHER M MCCLUSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
410 REGENCY CTR, COLLINSVILLE, IL 62234-4659
(618) 343-3602
Mailing address
410 REGENCY CTR, COLLINSVILLE, IL 62234-4659
(618) 343-3602
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038010177
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06032272
BCBS
IL
Enumeration date
03/29/2007
Last updated
07/26/2008
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