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Individual

DR. JULIE ANN BIRD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
1100 W MAIN ST, CARBONDALE, IL 62901-2335
(618) 529-5172
(618) 529-9152
Mailing address
1100 W MAIN ST, CARBONDALE, IL 62901-2335
(618) 529-5172
(618) 529-9152

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038007995
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
03923662
BLUE CROSS BLUE SHIELD
IL
01
293612
HEALTHLINK
Enumeration date
02/21/2007
Last updated
07/11/2013
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