Individual
DR. JODI BETH BUSKOHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
2447 STATE ST, CHESTER, IL 62233-1147
(618) 826-5475
Mailing address
PO BOX 366, CHESTER, IL 62233-0366
(618) 826-5475
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-008585
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07922707
BLUE CROSS/BLUE SHIELD
IL
01
—
31419
CMR
IL
01
—
393631
HEALTHLINK
IL
Enumeration date
10/29/2005
Last updated
05/06/2024
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