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NPI Code Detail

MEDICARE: DR. SARAH ALEENE KEUSS D.C.

MEDICARE:  DR. SARAH ALEENE KEUSS  D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor038-010420IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11635345OTHERILBCBS PROVIDER NUMBER

General Provider Information

NPI Number : 1841303815
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SARAH ALEENE KEUSS D.C.
Provider Business Mailing Address
First Line : 6818 W BELMONT AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60634-4645
Country : US
Telephone Number : 773-282-4529
Fax Number :
Provider Business Practice Location Address
First Line : 6818 W BELMONT AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60634-4645
Country : US
Telephone Number : 773-282-4529
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2006
Last Update Date : 01/07/2009

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Directions to “ DR. SARAH ALEENE KEUSS D.C.” Practice Location

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