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Individual

DR. JULIE SUZANNE TEEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
509 W MAIN STREET, BENTON, IL 62812-1328
(618) 439-7171
(618) 439-6151
Mailing address
509 W MAIN STREET, BENTON, IL 62812-1328
(618) 439-7171
(618) 439-6151

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038009609
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
038009609
IL
01
226906
GHP
01
2832008
BLUE CROSS BLUE SHIELD
IL
01
626640
HEALTHLINK
Enumeration date
09/26/2006
Last updated
07/19/2010
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