Functional Performance Chiropractic, Ltd

NPI 1790197044 - Chiropractor - 111N00000X

NPI Details
NPI 1790197044
Enumeration Date 05/21/2014
Last Updated 05/21/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name BRYAN THOMAS BRYAN
Position CO-OWNER
Phone (513) 706-0145
Fax
Practice Location
1153 HUMMINGBIRD LN
GRAYSLAKE IL, 60030-3409, US
Phone (513) 706-0145
Fax
Business Location
1153 HUMMINGBIRD LN
GRAYSLAKE IL, 60030-3409, US
Phone (513) 706-0145
Fax
Toxanomy
Taxonomy Code 111N00000X
License State Illinois
License Number 038012615
Remove 1790197044 NPI Number
 

According to our database, Functional Performance Chiropractic, Ltd NPI is 1790197044, taxonomy code is 111N00000X and license number is 038012615, license state is located at Illinois. Functional Performance Chiropractic, Ltd physically located at 1153 Hummingbird Ln, Grayslake IL, 60030-3409. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1790197044 NPI number is provided on an as is basis without warranty of any kind. 1790197044 is maintained by the National Plan & Provider Enumeration System. The contents of Functional Performance Chiropractic, Ltd are for informational purposes only.