Individual
DR. JULIE LYN DEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC, DICCP
Contact information
Practice address
3325 AVENUE OF THE CITIES, SUITE B, MOLINE, IL 61265-4304
(309) 757-8510
(309) 757-8516
Mailing address
3325 AVENUE OF THE CITIES, SUITE B, MOLINE, IL 61265-4304
(309) 757-8510
(309) 757-8516
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-007999
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35-0051879
RAILROAD MEDICARE ID
IL
01
—
8127241
BLUE SHIELD ID NUMBER
IL
Enumeration date
11/02/2006
Last updated
09/11/2012
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