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Individual

DR. JOSEPH M TRUTTMANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
7100 W MAIN ST, STE B, BELLEVILLE, IL 62223-3022
(618) 397-6611
(618) 397-6622
Mailing address
7100 W MAIN ST, STE B, BELLEVILLE, IL 62223-3022
(618) 397-6611
(618) 397-6622

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
1704526 INACTIVE
FL
111N00000X
Chiropractor
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8282038
BCBS OF IL
IL
01
PINP00249134
RAILROAD MEDICARE
Enumeration date
11/30/2006
Last updated
07/08/2007
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