Robert J Gerken in Johnsburg - Chiropractor

Robert J Gerken - NPI 1053475079

Robert J Gerken is a Chiropractor in Johnsburg, Illinois. Robert J Gerken practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Robert J Gerken is 1053475079. The last update date is 2010-04-08.

Robert J Gerken's current location address is 2604 Johnsburg Road, Johnsburg, Illinois. You can contact this provider via phone number 8155781771 and fax number 8155789261. The mailing address for Robert J Gerken is 2604 Johnsburg Road, Johnsburg, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Robert J Gerken
Address 2604 Johnsburg Road, Johnsburg, Illinois
Phone Number 8155781771
Fax Number 8155789261
Sole Proprietor Y
Credentials D.C.

NPI Number Detail

NPI Number 1053475079
Provider Enumeration Date 2006-12-21
Last Updated Date 2010-04-08

Provider Mailing Address Detail

Address 2604 Johnsburg Road
City Johnsburg
State Illinois (IL)
Post Code 600515105
Phone Number 8155781771
Fax Number 8155789261

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No 038-009638
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
13-4207401 IL ACN
44-02151 IL UNITED HEALTHCARE

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FAQs about Robert J Gerken

What is the unique 10-digit identifier code issued to Robert J Gerken by the Centers for Medicare & Medicaid Services?

The Robert J Gerken has been assigned the NPI (National Provider Identifier) 1053475079 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Can you provide the Robert J Gerken's physical address?

The Robert J Gerken is physically located at 2604 Johnsburg Road, in the city of Johnsburg, IL, with the postal code 600515105.

What is the Robert J Gerken's area of specialization and corresponding taxonomy classification?

The Robert J Gerken's specialty field is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their specialties.

On what date did the Robert J Gerken receive its 1053475079 assignment from the Centers for Medicare & Medicaid Services?

The Robert J Gerken was assigned its 1053475079 by the Centers for Medicare & Medicaid Services on 2006-12-21.

As of what date were the details pertaining to Robert J Gerken last refreshed?

The information related to the Robert J Gerken, including its address, specialty, and other relevant details, was last updated on 2010-04-08.

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