Organization
FITZSIMMONS CHIROPRACTIC P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY MELISSA FITZSIMMONS D.C. (PRESIDENT)
(815) 476-3700
Entity
Organization
Contact information
Practice address
300 E BALTIMORE ST, WILMINGTON, IL 60481-1236
(815) 476-3700
(815) 476-1067
Mailing address
300 E BALTIMORE ST, WILMINGTON, IL 60481-1236
(815) 476-3700
(815) 476-1067
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0009926858
BLUE CROSS BLUE SHIELD
IL
Enumeration date
05/31/2007
Last updated
11/27/2007
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