Bourbonnais Chiropractic Ltd in Bourbonnais - Chiropractor

Bourbonnais Chiropractic Ltd - NPI 1548334287

Bourbonnais Chiropractic Ltd is a Chiropractor in Bourbonnais, Illinois. Bourbonnais Chiropractic Ltd practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Bourbonnais Chiropractic Ltd is 1548334287. The last update date is 2011-04-20.

Bourbonnais Chiropractic Ltd's current location address is 201 Park Pl Ste 10, Bourbonnais, Illinois. You can contact this provider via phone number 8159392225 and fax number 8159398993. The mailing address for Bourbonnais Chiropractic Ltd is 201 Park Pl Ste 10, Bourbonnais, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Bourbonnais Chiropractic Ltd
Address 201 Park Pl Ste 10, Bourbonnais, Illinois
Phone Number 8159392225
Fax Number 8159398993
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Tripp R James
Credentials DC
Telephone Number 8159392225

NPI Number Detail

NPI Number 1548334287
Provider Enumeration Date 2006-11-17
Last Updated Date 2011-04-20

Provider Mailing Address Detail

Address 201 Park Pl Ste 10
City Bourbonnais
State Illinois (IL)
Post Code 609141883
Phone Number 8159392225
Fax Number 8159398993

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No 38006693
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4682111 IL BLUE CROSS BLUE SHIELD
350026295 RAILROAD MEDICARE

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FAQs about Bourbonnais Chiropractic Ltd

What is the unique provider identifier assigned to Bourbonnais Chiropractic Ltd?

The Bourbonnais Chiropractic Ltd has been issued the NPI (National Provider Identifier) 1548334287 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where Bourbonnais Chiropractic Ltd is physically located?

The Bourbonnais Chiropractic Ltd is situated at the following address: 201 Park Pl Ste 10, Bourbonnais, IL 609141883.

What is Bourbonnais Chiropractic Ltd's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Bourbonnais Chiropractic Ltd is Chiropractor, and the corresponding taxonomy classification code for this specialized field is 111N00000X.

When was the Bourbonnais Chiropractic Ltd's 1548334287 issued?

The Bourbonnais Chiropractic Ltd's 1548334287 was issued on 2006-11-17.

When was the information pertaining to Bourbonnais Chiropractic Ltd most recently updated or revised?

The details related to Bourbonnais Chiropractic Ltd, including its address, specialty, and other relevant information, were last updated or revised on 2011-04-20.

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