Premier Chiropractic Center, Ltd

NPI #1336156280 in Grayslake, Illinois

Provider Information

NPI Number: 1336156280
Entity Type: Organization
Organization Name: Premier Chiropractic Center, Ltd
Primary Specialty: Chiropractor
Enumeration Date: Aug 2, 2006
Last Updated: Jan 11, 2008

Practice Location

Address: 419 CENTER ST
Address 2: SUITE B
City: Grayslake
State: Illinois
ZIP Code: 60030-1625
Phone: (847) 543-1055

Authorized Official

Name: MR. JOHN NOLAN BOUMA
Title: PHYSICIAN
Phone: (847) 543-1055

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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