Organization
DR E.L. STROTHEIDE LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON L STROTHEIDE DC (PRESIDENT)
(618) 876-7800
Entity
Organization
Contact information
Practice address
3412 NAMEOKI ROAD, GRANITE CITY, IL 62040
(618) 876-7800
(618) 876-7850
Mailing address
3412 NAMEOKI ROAD, GRANITE CITY, IL 62040
(618) 876-7800
(618) 876-7850
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
006145
MO
111N00000X
Chiropractor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06023887
BCBS OF IL
—
Enumeration date
09/26/2006
Last updated
11/01/2007
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