Bolingbrook Family Chiropractic Ltd in Bolingbrook - Chiropractor
Bolingbrook Family Chiropractic Ltd - NPI 1114071594
Bolingbrook Family Chiropractic Ltd is a Chiropractor in Bolingbrook, Illinois. Bolingbrook Family Chiropractic Ltd practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Bolingbrook Family Chiropractic Ltd is 1114071594. The last update date is 2013-06-28.
Bolingbrook Family Chiropractic Ltd's current location address is 550 E Boughton Rd, Bolingbrook, Illinois. You can contact this provider via phone number 6306996840 and fax number 6307395871. The mailing address for Bolingbrook Family Chiropractic Ltd is 550 E Boughton Rd, Bolingbrook, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Bolingbrook Family Chiropractic Ltd |
|---|---|
| Address | 550 E Boughton Rd, Bolingbrook, Illinois |
| Phone Number | 6306996840 |
| Fax Number | 6307395871 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Dahlager A Bradley |
| Credentials | DC |
| Telephone Number | 6306996840 |
NPI Number Detail
| NPI Number | 1114071594 |
|---|---|
| Provider Enumeration Date | 2007-01-22 |
| Last Updated Date | 2013-06-28 |
Provider Mailing Address Detail
| Address | 550 E Boughton Rd |
|---|---|
| City | Bolingbrook |
| State | Illinois (IL) |
| Post Code | 604402100 |
| Phone Number | 6306996840 |
| Fax Number | 6307395871 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
|
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 inte |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7674253 | AETNA | ||
| 9932169 | BCBS |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Bolingbrook Family Chiropractic Ltd by the Centers for Medicare & Medicaid Services?
The Bolingbrook Family Chiropractic Ltd has been issued the NPI (National Provider Identifier) 1114071594 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Bolingbrook Family Chiropractic Ltd's physical address?
The Bolingbrook Family Chiropractic Ltd is physically located at 550 E Boughton Rd, in the city of Bolingbrook, IL, with the postal code 604402100.
What is the area of specialization for Bolingbrook Family Chiropractic Ltd, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Bolingbrook Family Chiropractic Ltd is Chiropractor, and the corresponding taxonomy code that categorizes this area of expertise is 111N00000X.
On what date did Bolingbrook Family Chiropractic Ltd receive its 1114071594 assignment from the Centers for Medicare & Medicaid Services?
The Bolingbrook Family Chiropractic Ltd was assigned its 1114071594 on 2007-01-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Bolingbrook Family Chiropractic Ltd, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Bolingbrook Family Chiropractic Ltd, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2013-06-28.