Individual
DR. ALEXANDER THOMAS MERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
811 S PERRYVILLE RD UNIT 117, ROCKFORD, IL 61108-4323
(779) 423-2044
(779) 423-2045
Mailing address
811 S PERRYVILLE RD UNIT 117, ROCKFORD, IL 61108-4323
(779) 423-2044
(779) 423-2045
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038.010917
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04532425
BCBS IL
IL
Enumeration date
04/16/2007
Last updated
07/14/2015
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