Individual
JOHN CHARLES PIANO III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
149 EAST WALNUT STREET, OGLESBY, IL 61348
(815) 883-9630
(815) 883-9631
Mailing address
PO BOX 68, 149 EAST WALNUT STREET, OGLESBY, IL 61348
(815) 883-9630
(815) 883-9631
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05022672
BLUE CROSS BLUE SHIELD
—
Enumeration date
09/27/2006
Last updated
07/08/2007
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