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Individual

DR. JAMES CORZINE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
210 W MARKET ST, CHRISTOPHER, IL 62822-1224
(618) 724-9200
Mailing address
210 W MARKET ST, CHRISTOPHER, IL 62822-1224
(618) 724-9200

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-004890
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
288-2010
BLUE CROSS BLUE SHIELD
IL
05
713990
IL
Enumeration date
11/13/2006
Last updated
10/22/2007
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