Individual
DR. ALAN ROBERT YEPSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
108 S MCCOY STREET, GRANVILLE, IL 61326
(815) 339-2444
Mailing address
108 S MCCOY STREET, GRANVILLE, IL 61326
(815) 339-2444
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-007116
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07882001
BLUE CROSS/BLUE SHEILD
IL
01
—
350037407
RR MEDICARE
IL
01
—
8077410
CIGNA
IL
Enumeration date
02/07/2006
Last updated
11/03/2017
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