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Organization

LUNDGREN CHIROPRACTIC, LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ERIC LUNDGREN D.C. (OFFICER)
(309) 793-4858
Entity
Organization

Contact information

Practice address
2965 13TH AVE, ROCK ISLAND, IL 61201-2814
(309) 793-4858
Mailing address
2965 13TH AVE, ROCK ISLAND, IL 61201-2814
(309) 793-4858

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038008435
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
443330
MEDICARE
IL
01
8122098
BLUE CROSS BLUE SHIELD
IL
Enumeration date
06/26/2008
Last updated
06/26/2008
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