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Individual

KEVIN D SAGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
102 S CHRISTY AVE, SUMNER, IL 62466-1027
(618) 936-3100
Mailing address
102 S CHRISTY AVE, SUMNER, IL 62466-1027
(618) 936-3100

Taxonomy

Speciality
Code
Description
License number
State
111NI0013X
Independent Medical Examiner Chiropractor
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0005122038
BLUE CROSS BLUE SHIELD
IL
Enumeration date
06/11/2007
Last updated
07/08/2007
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