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Individual

DR. KIMBERLY M EGLY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
1150 N STATE ST STE 310, CHICAGO, IL 60610-2781
(312) 988-9655
(312) 988-7060
Mailing address
1150 N STATE ST STE 310, CHICAGO, IL 60610-2781
(312) 988-9655
(312) 988-7060

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1682319
BLUE CROSS BLUE SHIELD
IL
Enumeration date
10/27/2006
Last updated
07/08/2007
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