Organization
DR.ROBERT PYNE D.C.P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT DAVID PYNE D.C. (CHIROPRACTIC PHYSCIAN)
(708) 599-9585
Entity
Organization
Contact information
Practice address
10413 S ROBERTS RD, PALOS HILLS, IL 60465-1931
(708) 599-9585
Mailing address
10413 S ROBERTS RD, PALOS HILLS, IL 60465-1931
(708) 599-9585
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038005416
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001682418
BLUECROSSBLUE SHIELD
IL
01
—
1003816067
NPI1
IL
Enumeration date
05/30/2007
Last updated
08/20/2008
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