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Individual

MR. BRIC A STEWARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
908 S. COMMERCIAL STREET, HARRISBURG, IL 62946
(618) 252-2225
(618) 252-0512
Mailing address
908 S. COMMERCIAL STREET, HARRISBURG, IL 62946
(618) 252-2225
(618) 252-0512

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-010068
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
03532001
BLUE CROSS BLUE
IL
05
038-010068
IL
01
038010068
LICENSE #
IL
Enumeration date
01/04/2007
Last updated
05/03/2022
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