Individual
DR. ANTHONY L BREITBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1117 EMERSON ST, EVANSTON, IL 60201-3131
(847) 869-1772
(847) 869-2733
Mailing address
1117 EMERSON ST, EVANSTON, IL 60201-3131
(847) 869-1772
(847) 869-2733
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38010236
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001634718
BCBS
IL
Enumeration date
11/06/2006
Last updated
11/10/2009
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