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Individual

GERALD HENRY BEMIS JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
240 W ELM ST, ALTON, IL 62002-5126
(618) 466-5322
(618) 466-9523
Mailing address
4900 AIRPORT RD, GODFREY, IL 62035-3205
(618) 531-7056

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
102803
HEALTHLINK
IL
01
26040510
BLUE CROSS BLUE SHEILD IL
IL
01
4388568
AETNA
IL
01
4405903
UNITED HEALTHCARE
IL
Enumeration date
12/29/2006
Last updated
07/08/2007
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