Individual
MR. ERIC LUNDGREN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2965 13TH AVE, ROCK ISLAND, IL 61201-2814
(309) 793-4858
(309) 793-3596
Mailing address
2965 13TH AVE, ROCK ISLAND, IL 61201-2814
(309) 793-4858
(309) 793-3596
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8122098
BLUE CROSS BLUE SHIELD #
IL
Enumeration date
03/24/2006
Last updated
07/09/2007
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