Organization
DEERE ROAD CHIROPRACTIC LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIRGINIA ANN SCHWIEDER D.C. (DOCTOR OF CHIROPRACTIC)
(309) 736-7400
Entity
Organization
Contact information
Practice address
5202 38TH AVE, MOLINE, IL 61265-6722
(309) 736-7400
(309) 736-0361
Mailing address
5202 38TH AVE, MOLINE, IL 61265-6722
(309) 736-7400
(309) 736-0361
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038007883
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08130289
BLUE CROSS BLUE SHIELD
IL
01
—
1477120
FIRST HEALTH
IL
Enumeration date
04/21/2008
Last updated
05/02/2008
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