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Individual

MR. KIRK WILLIAM SCHULTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
519 SOUTH STATE STREET, JERSEYVILLE, IL 62052
(618) 498-6611
(618) 498-4077
Mailing address
519 SOUTH STATE STREET, JERSEYVILLE, IL 62052
(618) 498-6611
(618) 498-4077

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
04206974
BCBS
IL
Enumeration date
08/08/2006
Last updated
07/08/2007
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