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Dr. Richard C Coy, DC
Chiropractor in Glen Carbon, Illinois
NPI 1053315663

Richard C Coy is a Chiropractor based in Glen Carbon, IL. Richard C Coy practices in Glen Carbon, IL and has the professional credentials of DC. The NPI Number for Richard C Coy is 1053315663 and holds a License No. 005331 (Illinois).

The current practice location address for Richard C Coy is 3407 S State Route 157, Glen Carbon, IL and can be reached out via phone at 618-288-3610 and via fax at 618-288-9879.

Location: 3407 S State Route 157, Glen Carbon, IL, 62034-1041
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053315663
Provider Name
Richard C Coy
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
3407 S State Route 157, Glen Carbon, IL, 62034-1041
Phone Number
618-288-3610
Fax Number
618-288-9879
Provider Enumeration Date
06/10/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
215809 01 IL MEDICARE
44-01024 01 IL UNITED HEALTH CARE
7422 01 MO ALLIANCE BLUE CROSS
47722 01 IL CMR
180267 01 IL HEALTHLINK
47722 01 IL GHP
6082091 01 IL BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
3407 S State Route 157
City
Glen Carbon
State
Illinois
Zip
62034-1041
Phone Number
618-288-3610
Fax Number
618-288-9879
person
Provider Business Mailing Address Details
Address
3407 S State Route 157
City
Glen Carbon
State
Illinois
Zip
62034-1041
Phone Number
618-288-3610
Fax Number
618-288-9879
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
005331 (Missouri)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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