Individual
DR. BRIDGET ELLEN BRASFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC DR OF CHIRO MED
Contact information
Practice address
2861 MADISON AVENUE, GRANITE CITY, IL 62040-3614
(618) 877-4000
(618) 877-0874
Mailing address
2861 MADISON AVENUE, GRANITE CITY, IL 62040-3614
(618) 877-4000
(618) 877-0874
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0006032042
BCBS
IL
05
—
2177820538
—
IL
Enumeration date
08/31/2006
Last updated
07/08/2007
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