Individual
DR. BRENT C PAXTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
CANCER TREATMENT CENTERS OF AMERICA, 2520 ELISHA AVENUE, ZION, IL 60099
(800) 322-9183
(847) 872-8547
Mailing address
CANCER TREATMENT CENTERS OF AMERICA, 2361 PAYSPHERE CIRCLE, CHICAGO, IL 60674
(800) 322-9183
(847) 872-8547
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038006082
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04982069
BLUE CROSS BLUE SHIELD
IL
Enumeration date
10/05/2006
Last updated
02/18/2020
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