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Leslie R Quiram, DC
Chiropractor in Bloomington, Illinois
NPI 1467428409

Leslie R Quiram is a Chiropractor based in Bloomington, IL. Leslie R Quiram practices in Bloomington, IL and has the professional credentials of DC. The NPI Number for Leslie R Quiram is 1467428409 and holds a License No. (Illinois).

The current practice location address for Leslie R Quiram is 2412 E Washington St, Bloomington, IL and can be reached out via phone at 309-662-6462 and via fax at 309-663-8812.

Location: 2412 E Washington St, Bloomington, IL, 61704-4497
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467428409
Provider Name
Leslie R Quiram
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
2412 E Washington St, Bloomington, IL, 61704-4497
Phone Number
309-662-6462
Fax Number
309-663-8812
Provider Enumeration Date
02/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5732002 01 IL BCBS PPO PROVIDER #
institution
Provider Business Practice Location Address Details
Address
2412 E Washington St
City
Bloomington
State
Illinois
Zip
61704-4497
Phone Number
309-662-6462
Fax Number
309-663-8812
person
Provider Business Mailing Address Details
Address
2412 E Washington St
City
Bloomington
State
Illinois
Zip
61704-4497
Phone Number
309-662-6462
Fax Number
309-663-8812
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
(Illinois)
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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