Organization
DR DAN KHAMPRASEUT
Active
Other names
St Clair County Chiropractic & Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAN KHAMPRASEUT DC (PHYSICIAN)
(618) 233-3324
Entity
Organization
Contact information
Practice address
3620A N BELT W, BELLEVILLE, IL 62226-5947
(618) 233-3324
(618) 233-4758
Mailing address
3620A N BELT W, BELLEVILLE, IL 62226-5947
(618) 233-3324
(618) 233-4758
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08009696
—
IL
01
—
8232072
BCBS-IL
IL
Enumeration date
04/17/2008
Last updated
04/17/2008
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