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NPI Code Detail

MEDICARE: DR. GLEN MICHAEL BATSON D.C.

MEDICARE:  DR. GLEN MICHAEL BATSON  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
1111N00000XChiropractor2301005700MI
2111N00000XChiropractorIL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12215552OTHERILBCBS IL PROVIDER NUMBER

General Provider Information

NPI Number : 1912045519
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GLEN MICHAEL BATSON D.C.
Provider Business Mailing Address
First Line : 6837 KINGERY HWY
Second Line :
City : WILLOWBROOK
State : IL
Zip : 60527-5154
Country : US
Telephone Number : 630-323-1181
Fax Number : 630-323-1185
Provider Business Practice Location Address
First Line : 6837 KINGERY HWY
Second Line :
City : WILLOWBROOK
State : IL
Zip : 60527-5154
Country : US
Telephone Number : 630-323-1181
Fax Number : 630-323-1185
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2007
Last Update Date : 07/09/2007

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Directions to “ DR. GLEN MICHAEL BATSON D.C.” Practice Location

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