NPI 1922023662 · live from the CMS NPI Registry
A Family Chiropractic Office PC
Chiropractor in Loves Park, IL. National Provider Identifier 1922023662, active.
NPI record
| NPI | 1922023662 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Chiropractor 111N00000X |
| Practice location | 116 East Riverside Blvd, Loves Park, IL 61111 |
| Practice phone | 815-633-7000 |
| Mailing address | 116 E Riverside Blvd, Loves Park, IL 61111 |
| Enumerated | July 13, 2006 |
| Last updated | March 19, 2013 |
| Authorized official | Joseph Digirolamo, Chiropractor President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor primary | 111N00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.