Organization
ADVANCED CHIRO-MED PAIN AND DIET CENTER, SC
Active
Other names
CHIRO-MED Pain and Diet Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT DYER DC (PRESIDENT)
(815) 544-3894
Entity
Organization
Contact information
Practice address
860 BIESTER DR, STE 103, BELVIDERE, IL 61008-4053
(815) 544-3894
(815) 547-3968
Mailing address
860 BIESTER DR, STE 103, BELVIDERE, IL 61008-4053
(815) 544-3894
(815) 547-3968
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038007076
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05207617
BLUECROSS/BLUESHEILD
IL
Enumeration date
08/27/2009
Last updated
08/27/2009
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