John Nolan Bouma in Grayslake - Chiropractor
John Nolan Bouma - NPI 1649455502
John Nolan Bouma is a Chiropractor in Grayslake, Illinois. John Nolan Bouma practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for John Nolan Bouma is 1649455502. The last update date is 2008-02-20.
John Nolan Bouma's current location address is 419 Center St, Grayslake, Illinois. You can contact this provider via phone number 8475431055 and fax number 8475438648. The mailing address for John Nolan Bouma is 419 Center St, Grayslake, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Nolan Bouma |
|---|---|
| Address | 419 Center St, Grayslake, Illinois |
| Phone Number | 8475431055 |
| Fax Number | 8475438648 |
| Sole Proprietor | N |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1649455502 |
|---|---|
| Provider Enumeration Date | 2008-01-09 |
| Last Updated Date | 2008-02-20 |
Provider Mailing Address Detail
| Address | 419 Center St |
|---|---|
| City | Grayslake |
| State | Illinois (IL) |
| Post Code | 600301625 |
| Phone Number | 8475431055 |
| Fax Number | 8475438648 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
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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 |
|---|---|---|---|
| 4915076 | IL | BCBS |
Post Comment/ Review Below
What is the unique identification code assigned to John Nolan Bouma by the Centers for Medicare & Medicaid Services?
The John Nolan Bouma has been issued the NPI (National Provider Identifier) 1649455502. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where John Nolan Bouma is geographically located?
The John Nolan Bouma is physically situated at the following location: 419 Center St, Grayslake, IL, 600301625.
What is the John Nolan Bouma's specialty and taxonomy code?
The John Nolan Bouma's specialty is Chiropractor, and the corresponding taxonomy code is 111N00000X.
On what date was the 1649455502 assigned to John Nolan Bouma?
The John Nolan Bouma was issued its 1649455502 on 2008-01-09, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to John Nolan Bouma most recently updated or revised?
The details related to John Nolan Bouma, including its address, specialty, and other relevant information, were last updated or revised on 2008-02-20.