Individual
DR. MARY F BLAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
207 N MAIN ST, SUITE 103, COLUMBIA, IL 62236-1755
(618) 281-9202
(618) 281-9203
Mailing address
207 N MAIN ST, SUITE 103, COLUMBIA, IL 62236-1755
(618) 281-9202
(618) 281-9203
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0006732016
BLUE CROSS BLUE SHIELD
IL
01
—
273911
GHP
IL
01
—
666612
UNITED HEALTH CARE
IL
01
—
676122
HEALTHLINK
IL
01
—
7256584
AETNA
IL
Enumeration date
12/29/2006
Last updated
07/08/2007
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