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NPI Code Detail

MEDICARE: CORRY MEYERS L.AC

MEDICARE: CORRY MEYERS L.AC
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
1171100000XAcupuncturistACU-331ID
2171100000XAcupuncturist198-001521IL

General Provider Information

NPI Number : 1639612591
Entity Type Code : Individual
Provider Name (Legal Business Name) : CORRY MEYERS L.AC
Provider Business Mailing Address
First Line : 520N 4TH ST
Second Line :
City : SPRINGFIELD
State : IL
Zip : 62702
Country : US
Telephone Number : 217-545-8000
Fax Number :
Provider Business Practice Location Address
First Line : 319 E MADISON ST STE 1F
Second Line :
City : SPRINGFIELD
State : IL
Zip : 62701-3118
Country : US
Telephone Number : 217-545-8000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/28/2016
Last Update Date : 02/09/2023

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Directions to “ CORRY MEYERS L.AC” Practice Location

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