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Ian Duire, LMT
NPI 1992111207 · on the registry since 2014
Practice
- Address
- 3407 S State Route 157
Glen Carbon, IL 62034 - Phone
- (618) 288-3610
- Organisation at this address
- Terry J Coy
Dr. Mary Mioux-Berry, Llc
Optimum Wellness And Rehabilitation PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois