Individual
DR. ANTHONY TODD VALLEROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
305 S MOORE ST STE A, WATERLOO, IL 62298-1328
(618) 939-4700
(618) 939-5867
Mailing address
421 HARTMANN LN, WATERLOO, IL 62298-1858
(618) 939-4158
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-009945
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06732010
BCBS ILLINOIS
IL
01
—
199367
BCBS MISSOURI
IL
01
—
2122751
FIRST HEALTH
IL
01
—
5470950
CCN
IL
01
—
611690
HEALTHLINK
IL
01
—
655439
UNITED HEALTHCARE
IL
Enumeration date
04/03/2007
Last updated
07/08/2007
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