Individual
DR. JAMES R TRIPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
201 PARK PL STE 10, BOURBONNAIS, IL 60914
(815) 393-2225
Mailing address
201 PARK PL STE 10, BOURBONNAIS, IL 60914-1883
(815) 393-2225
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038006693
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
350026295
RAILROAD MEDICARE
—
01
—
4682111
BLUE CROSS BLUE SHIELD
IL
Enumeration date
10/27/2006
Last updated
06/01/2018
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