Individual
DR. CHARLES E. KOESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
101 TRANSCRAFT DR, ANNA, IL 62906-2114
(618) 833-2179
Mailing address
101 TRANSCRAFT DR, ANNA, IL 62906-2114
(618) 833-2179
(618) 833-4596
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038.010812
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038010812
—
IL
01
—
215015
MEDICARE GROUP #
IL
01
—
K37019
MEDICARE PROVIDER #
IL
Enumeration date
11/22/2006
Last updated
11/19/2008
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