GRUNDY COUNTY PAIN CENTER SC NPI 1083731608

NPI Information

NPI: 1083731608
Provider Name: GRUNDY COUNTY PAIN CENTER SC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
425 E US ROUTE 6
SUITE A
MORRIS, IL
ZIP 60450
Phone: (815) 942-6511
Get Directions

GRUNDY COUNTY PAIN CENTER SC is a chiropractor in Morris, IL. The provider is 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 interrelationship with other body systems. GRUNDY COUNTY PAIN CENTER SC NPI is 1083731608. The provider is registered as an organization entity type.

The provider's business location address is:

425 E US ROUTE 6
SUITE A
MORRIS, IL
ZIP 60450-042
Phone: (815) 942-6511
Fax: (815) 942-6582

The provider's authorized official is Diane Carlson .
The authorized official title is Mgr and has the following contact phone number (815) 942-6511.

The enumeration date for this NPI number is 3/26/2007 and was last updated on 6/26/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2000X	Clinic/Center	Physical Therapy	042617968	ILLINOIS	No
2	111N00000X	Chiropractor		042617968	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	209906	MEDICARE PIN	ILLINOIS
2	4760100001	MEDICARE NSC	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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