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Individual

BRIAN K HESTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
303 S COMMERCIAL ST, STE 10, HARRISBURG, IL 62946-2125
(618) 252-5555
Mailing address
303 S COMMERCIAL ST, STE 10, HARRISBURG, IL 62946-2125
(618) 252-5555

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-006763
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
038-006763
LICENSE #
IL
05
038-006763
IL
01
083-82007
BLUE CROSS BLUE SHIELD
IL
Enumeration date
01/04/2007
Last updated
05/02/2012
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