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Individual

DR. JULIE ANNE MIESMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
300 W ADAMS ST, 515, CHICAGO, IL 60606-5101
(312) 223-0692
(312) 223-0695
Mailing address
300 W ADAMS ST, 515, CHICAGO, IL 60606-5101

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038009296
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01634591
BLUECROSS BLUESHIELD
01
11181151
CAQH NUMBER
01
2139354
FIRST HEALTH NUMBER
01
46441
HFN NUMBER
01
629115
ACN PROVIDER
Enumeration date
04/10/2006
Last updated
06/13/2011
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