Individual
DR. ANDREW W DYKEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
33 EAST AIRLINE DRIVE, EAST ALTON, IL 62024
(618) 259-2676
(618) 259-2679
Mailing address
33 EAST AIRLINE DRIVE, EAST ALTON, IL 62024
(618) 259-2676
(618) 259-2679
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038010073
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038010073
—
IL
01
—
6032097
BCBS
IL
01
—
664129
UHC
IL
Enumeration date
05/23/2006
Last updated
08/04/2012
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