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Individual

DR. J. RICHARD BURNS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
379 AVENUE OF THE CITIES, EAST MOLINE, IL 61244-4023
(309) 755-4400
(309) 755-2163
Mailing address
379 AVENUE OF THE CITIES, EAST MOLINE, IL 61244-4023
(309) 755-4400
(309) 755-2163

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38-3520
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
08182032
BLUE CROSS/ BLUE SHIELD
IL
Enumeration date
12/30/2005
Last updated
08/23/2012
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