Individual
DR. DOUGLAS R COCHRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
301 N HICKORY ST, DU QUOIN, IL 62832-1732
(618) 542-6262
(618) 542-6263
Mailing address
301 N HICKORY ST, DU QUOIN, IL 62832-1732
(618) 542-6262
(618) 542-6263
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038005729
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038005729
—
IL
01
—
3915223
BLUE CROSS BLUE SHIELD IL
IL
Enumeration date
07/01/2005
Last updated
08/12/2015
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