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405 W. North Street, Walnut, IL 61376 | |
(815) 379-2088 | |
(815) 379-2187 |
Full Name | |
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Type | Facility |
Speciality | Chiropractor |
Location | 405 W. North Street, Walnut, Illinois |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1588707095 | NPI | - | NPPES |
00632016 | Other | IL | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (Illinois) | Primary |
Provider Name | Dean A Hulsing |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1730108002 PECOS PAC ID: 3173538055 Enrollment ID: I20060320000039 |
Mailing Address | Practice Location Address |
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Po Box 268, Walnut, IL 61376-0268 Ph: () - | 405 W. North Street, Walnut, IL 61376 Ph: (815) 379-2088 |
Dean A Hulsing, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 405 W North Street, Walnut, IL 61376 Phone: 815-379-2088 |