Individual
DONALD E FREESMEIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1510 BROADWAY AVENUE, MATTOON, IL 61938-3931
(217) 235-3933
(217) 235-3948
Mailing address
1510 BROADWAY AVENUE, MATTOON, IL 61938-3931
(217) 235-3933
(217) 235-3948
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00291072
RR MEDICARE
IL
Enumeration date
10/12/2006
Last updated
10/29/2007
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