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Individual

JOSHUA ADAM BARNEWOLT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
7814 N KICKAPOO EDWARDS RD, SUITE A, EDWARDS, IL 61528-9564
(309) 691-6920
(309) 691-6921
Mailing address
PO BOX 54, EDWARDS, IL 61528-0054
(309) 691-6920
(309) 691-6921

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038011547
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
7232266
GROUP BCBS OF IL
IL
Enumeration date
11/10/2009
Last updated
03/16/2010
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