Individual
DR. JOHN S. STITES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2001 52ND AVE, SUITE 1, MOLINE, IL 61265-6368
(309) 764-4901
(309) 797-7688
Mailing address
2001 52ND AVE, SUITE 1, MOLINE, IL 61265-6368
(309) 764-4901
(309) 797-7688
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038005059
IL
111N00000X
Chiropractor
05060
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038005059
—
IL
01
—
323290
BLUE CROSS BLUE SHIELD IL
IL
Enumeration date
03/21/2006
Last updated
03/19/2014
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