Rodney V. Gabbert in Crystal Lake - Sports Physician

Rodney V. Gabbert - NPI 1447263561

Rodney V. Gabbert is a Sports Physician in Crystal Lake, Illinois. Rodney V. Gabbert practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Rodney V. Gabbert is 1447263561. The last update date is 2011-11-15.

Rodney V. Gabbert's current location address is 330 W Terra Cotta Ave, Crystal Lake, Illinois. You can contact this provider via phone number 8154551751 and fax number 8154559450. The mailing address for Rodney V. Gabbert is 330 W Terra Cotta Ave, Crystal Lake, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Rodney V. Gabbert
Address 330 W Terra Cotta Ave, Crystal Lake, Illinois
Phone Number 8154551751
Fax Number 8154559450
Sole Proprietor N
Credentials D.C.

NPI Number Detail

NPI Number 1447263561
Provider Enumeration Date 2006-08-14
Last Updated Date 2011-11-15

Provider Mailing Address Detail

Address 330 W Terra Cotta Ave
City Crystal Lake
State Illinois (IL)
Post Code 600143552
Phone Number 8154551751
Fax Number 8154559450

Provider's Primary Taxonomy Detail

Speciality Sports Physician
Taxonomy 111Ns0005X
Licence No 038-004858
Definition:
A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP)

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
GABBEROD WI MERCYCARE INSURANCE
P0042085CG6042 IL RR MEDICARE

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FAQs about Rodney V. Gabbert

What is the unique identifier code issued to Rodney V. Gabbert by the Centers for Medicare & Medicaid Services (CMS)?

The Rodney V. Gabbert has been assigned the NPI (National Provider Identifier) 1447263561. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical location address where Rodney V. Gabbert's facilities are situated?

The facilities of Rodney V. Gabbert are physically located at the following address: 330 W Terra Cotta Ave, Crystal Lake, IL, 600143552.

What is Rodney V. Gabbert's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Rodney V. Gabbert's specialized field of practice is Sports Physician, and the corresponding taxonomy code that categorizes this area of specialization is 111Ns0005X.

On what date did the Rodney V. Gabbert receive the assignment of its 1447263561 from the Centers for Medicare & Medicaid Services?

The Rodney V. Gabbert was issued its 1447263561 by the Centers for Medicare & Medicaid Services on 2006-08-14.

When was the information related to Rodney V. Gabbert most recently updated or refreshed?

The details pertaining to the Rodney V. Gabbert, including its address, specialty, and other relevant information, were last updated or refreshed on 2011-11-15.

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