Gary Henderson in Bourbonnais - Chiropractor

Gary Henderson - NPI 1306041124

Gary Henderson is a Chiropractor in Bourbonnais, Illinois. Gary Henderson practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Gary Henderson is 1306041124. The last update date is 2007-07-08.

Gary Henderson's current location address is 100 Fitness Dr, Bourbonnais, Illinois. You can contact this provider via phone number 8159292190 and fax number 8159292191. The mailing address for Gary Henderson is 100 Fitness Dr, Bourbonnais, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Gary Henderson
Address 100 Fitness Dr, Bourbonnais, Illinois
Phone Number 8159292190
Fax Number 8159292191
Sole Proprietor Y
Credentials D.C.

NPI Number Detail

NPI Number 1306041124
Provider Enumeration Date 2007-06-20
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 100 Fitness Dr
City Bourbonnais
State Illinois (IL)
Post Code 609149584
Phone Number 8159292190
Fax Number 8159292191

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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FAQs about Gary Henderson

What is the Gary Henderson's unique identification number?

The Gary Henderson has been assigned the NPI (National Provider Identifier) Number 1306041124 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete address where Gary Henderson is physically located?

The Gary Henderson is situated at the following address: 100 Fitness Dr, Bourbonnais, IL 609149584.

What is the area of specialization for Gary Henderson, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Gary Henderson is Chiropractor, and the corresponding taxonomy code that categorizes this area of expertise is 111N00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1306041124 to Gary Henderson?

The Gary Henderson received its 1306041124 assignment from the Centers for Medicare & Medicaid Services on 2007-06-20.

When was the information regarding Gary Henderson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Gary Henderson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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