| Dr John S Stites, DC | |
|
2001 52nd Ave, Suite 1, Moline, IL 61265-6368 | |
| (309) 764-4901 | |
| (309) 797-7688 |
| Full Name | Dr John S Stites |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 2001 52nd Ave, Moline, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265491096 | NPI | - | NPPES |
| 323290 | Other | IL | BLUE CROSS BLUE SHIELD IL |
| 038005059 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 05060 (Iowa) | Secondary |
| 111N00000X | Chiropractor | 038005059 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John S Stites, DC 2001 52nd Ave, Suite 1, Moline, IL 61265-6368 Ph: (309) 764-4901 | Dr John S Stites, DC 2001 52nd Ave, Suite 1, Moline, IL 61265-6368 Ph: (309) 764-4901 |
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