Individual
DR. HEIDI COLEHOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
6270 E RIVERSIDE BLVD, LOVES PARK, IL 61111-4418
(815) 636-2225
(815) 636-2863
Mailing address
6270 E RIVERSIDE BLVD, LOVES PARK, IL 61111-4418
(815) 636-2225
(815) 636-2863
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038009629
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10132055
BCBS
IL
Enumeration date
02/16/2007
Last updated
01/10/2011
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