Edvard Lc Gerega is a Chiropractor in Fulton, Illinois. Edvard Lc Gerega practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Edvard Lc Gerega is 1356488241. The last update date is 2010-07-22.
Edvard Lc Gerega's current location address is 1013 4th Street, Fulton, Illinois. You can contact this provider via phone number 8155893291 and fax number 8155893291. The mailing address for Edvard Lc Gerega is 1013 4th Street, Fulton, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edvard Lc Gerega |
|---|---|
| Address | 1013 4th Street, Fulton, Illinois |
| Phone Number | 8155893291 |
| Fax Number | 8155893291 |
| Sole Proprietor | Y |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1356488241 |
|---|---|
| Provider Enumeration Date | 2007-01-31 |
| Last Updated Date | 2010-07-22 |
Provider Mailing Address Detail
| Address | 1013 4th Street |
|---|---|
| City | Fulton |
| State | Illinois (IL) |
| Post Code | 612521715 |
| Phone Number | 8155893291 |
| Fax Number | 8155893291 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 38006218 |
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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 |
|---|---|---|---|
| 2906967 | IL | BCBS |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Edvard Lc Gerega by the Centers for Medicare & Medicaid Services?
The Edvard Lc Gerega has been issued the NPI (National Provider Identifier) 1356488241, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Edvard Lc Gerega?
The Edvard Lc Gerega is physically situated at 1013 4Th Street, in the city of Fulton, state of IL, with the postal code 612521715.
What is Edvard Lc Gerega's specialized field of practice, and what is the corresponding taxonomy classification code?
The Edvard Lc Gerega's area of specialization is Chiropractor, and the corresponding taxonomy code that categorizes this field of practice is 111N00000X.
On what date did the Edvard Lc Gerega receive its 1356488241 assignment from the Centers for Medicare & Medicaid Services?
The Edvard Lc Gerega was assigned its 1356488241 by the Centers for Medicare & Medicaid Services on 2007-01-31.
As of what date were the details pertaining to Edvard Lc Gerega last refreshed?
The information related to the Edvard Lc Gerega, including its address, specialty, and other relevant details, was last updated on 2010-07-22.
NPI Number: 1942206313
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