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Individual

DR. DONALD LEE WRIGHT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
406 N BEECH ST, SUITE A, NORMAL, IL 61761-1999
(309) 454-1800
(309) 454-1919
Mailing address
502 PLUMAGE CT, NORMAL, IL 61761-5616
(309) 452-1800
(309) 454-1919

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038005831
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
038005831
IL
01
05715399
BLUE CROSS BLUE SHIELD IL
IL
Enumeration date
01/09/2007
Last updated
11/12/2008
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