Organization
BLAIR FAMILY CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY F BLAIR D.C. (PRESIDENT)
(618) 281-9202
Entity
Organization
Contact information
Practice address
207 N MAIN ST, SUITE 103, COLUMBIA, IL 62236-1755
(618) 281-9202
(618) 281-9203
Mailing address
207 N MAIN ST, SUITE 103, COLUMBIA, IL 62236-1755
(618) 281-9202
(618) 281-9203
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0006732016
BLUE CROSS BLUE SHIELD
IL
01
—
224743
GHP
IL
Enumeration date
12/29/2006
Last updated
08/22/2020
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