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Individual

DEAN A. NELSON

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
643 S DIXIE HWY, UNIT 2, BEECHER, IL 60401-3666
(708) 946-3166
(708) 946-2207
Mailing address
643 S DIXIE HWY, UNIT 2, BEECHER, IL 60401-3666
(708) 946-3166
(708) 946-2207

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
9982028
BLUE CROSS BLUE SHIELD
IL
Enumeration date
06/30/2005
Last updated
07/09/2007
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