Organization
ANDREAS CHIROPRACTIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYAN MICHAEL ANDREAS D.C. (PRESIDENT)
(618) 667-1670
Entity
Organization
Contact information
Practice address
503 BUCKEYE DR, STE 130, TROY, IL 62294-2347
(618) 667-1670
(618) 667-1671
Mailing address
503 BUCKEYE DR, STE 130, TROY, IL 62294-2347
(618) 667-1670
(618) 667-1671
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
060.008479
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06032046
BLUE CROSS BLUE SHIELD
IL
01
—
477681
HEALTHLINK ID#
IL
01
—
POO107103
RAILROAD MEDICARE#
IL
Enumeration date
04/03/2007
Last updated
06/21/2018
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