Spring Grove Physical Medicine And Rehabilatation Ltd in Spring Grove - Chiropractor
Spring Grove Physical Medicine And Rehabilatation Ltd - NPI 1851443618
Spring Grove Physical Medicine And Rehabilatation Ltd is a Chiropractor in Spring Grove, Illinois. Spring Grove Physical Medicine And Rehabilatation Ltd practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Spring Grove Physical Medicine And Rehabilatation Ltd is 1851443618. The last update date is 2020-08-22.
Spring Grove Physical Medicine And Rehabilatation Ltd's current location address is 2100 Route 12, Spring Grove, Illinois. You can contact this provider via phone number 8156750675. The mailing address for Spring Grove Physical Medicine And Rehabilatation Ltd is 2100 Route 12, Spring Grove, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Spring Grove Physical Medicine And Rehabilatation Ltd |
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Address | 2100 Route 12, Spring Grove, Illinois |
Phone Number | 8156750675 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Destephano Ralph Destephano |
Telephone Number | 8156750675 |
NPI Number Detail
NPI Number | 1851443618 |
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Provider Enumeration Date | 2007-01-18 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 2100 Route 12 |
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City | Spring Grove |
State | Illinois (IL) |
Post Code | 60081 |
Phone Number | 8156750675 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Chiropractor |
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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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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5632013 | IL | BLUE CROSS NUMBER |
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What is the unique provider identifier assigned to Spring Grove Physical Medicine And Rehabilatation Ltd?
The Spring Grove Physical Medicine And Rehabilatation Ltd has been issued the NPI (National Provider Identifier) 1851443618 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Spring Grove Physical Medicine And Rehabilatation Ltd is physically located?
The Spring Grove Physical Medicine And Rehabilatation Ltd is physically situated at the following address: 2100 Route 12, Spring Grove, IL, 60081.
What is Spring Grove Physical Medicine And Rehabilatation Ltd's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Spring Grove Physical Medicine And Rehabilatation Ltd is Chiropractor, and the taxonomy code that categorizes this field of expertise is 111N00000X.
On what date did the Spring Grove Physical Medicine And Rehabilatation Ltd receive the assignment of its 1851443618 from the Centers for Medicare & Medicaid Services?
The Spring Grove Physical Medicine And Rehabilatation Ltd was issued its 1851443618 by the Centers for Medicare & Medicaid Services on 2007-01-18.
When was the information pertaining to Spring Grove Physical Medicine And Rehabilatation Ltd most recently updated or revised?
The details related to Spring Grove Physical Medicine And Rehabilatation Ltd, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.
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