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Individual

DR. ANNETTE GREMMELS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
1001 N CHENEY ST STE B, TAYLORVILLE, IL 62568-2705
(217) 824-0404
(217) 824-0404
Mailing address
1001 N CHENEY ST STE B, TAYLORVILLE, IL 62568-2705
(217) 824-0404
(217) 824-0404

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-005007
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0001132005
BLUE SHIELD
IL
01
321545
HEALTHLINK
IL
Enumeration date
08/10/2006
Last updated
04/20/2011
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