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Individual

DAVID W VAN DEHEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
1230 ARMOUR RD, BOURBONNAIS, IL 60914-2106
(815) 933-5688
(815) 933-3512
Mailing address
1230 ARMOUR RD, BOURBONNAIS, IL 60914-2106
(815) 933-5688
(815) 933-3512

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038005286
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4682110
BLUE CROSS
Enumeration date
09/23/2005
Last updated
11/12/2015
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