Individual
MRS. DENISE A AMUNDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
723 N SECOND ST, CHILLICOTHE, IL 61523
(309) 274-5380
(309) 274-8163
Mailing address
723 N SECOND ST, CHILLICOTHE, IL 61523
(309) 274-5380
(309) 274-8163
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007208710
BLUE CROSS BS
IL
01
—
10671463
UNICARE
IL
Enumeration date
12/19/2006
Last updated
07/08/2007
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