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Individual

DR. CARRI E ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
101 N 4TH ST, SUITE A, OREGON, IL 61061-1430
(815) 440-5120
Mailing address
101 N 4TH ST, SUITE A, OREGON, IL 61061-1430
(815) 440-5120

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038012124
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
09821954
BCBS
IL
Enumeration date
03/07/2012
Last updated
03/26/2013
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