Individual
DR. MICHAEL JOSEPH PAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
800 N WEBSTER ST, TAYLORVILLE, IL 62568-1258
(217) 287-2600
Mailing address
800 N WEBSTER ST, TAYLORVILLE, IL 62568-1258
(217) 287-2600
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1121718
BLUE CROSS BLUE SHIELD
IL
Enumeration date
12/18/2006
Last updated
07/08/2007
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