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Organization

STEVENS CHIROPRACTIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NATHAN AARON STEVENS DC (OWNER)
(618) 395-2225
Entity
Organization

Contact information

Practice address
600 WEST MAIN STREET, OLNEY, IL 62450-2623
(618) 395-2225
(618) 395-7044
Mailing address
PO BOX 247, OLNEY, IL 62450-2623
(618) 395-2225
(618) 395-7044

Taxonomy

Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
08022501
BCBS #
IL
Enumeration date
05/04/2007
Last updated
08/22/2020
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