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Individual

MR. KENNETH PAUL LAMCHICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
427 W DAKOTA ST, SPRING VALLEY, IL 61362-1807
(815) 664-4743
Mailing address
427 W DAKOTA ST, SPRING VALLEY, IL 61362-1807
(815) 664-4743

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038007394
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0009820120
BLUE CROSS BLUE SHIELD
IL
Enumeration date
08/22/2006
Last updated
07/20/2012
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