Individual provider · Type 1 NPI

Leslie R. Quiram, DC

Chiropractor · Bloomington, IL

NPI number 1467428409 Active

Practice location

2412 E Washington St, Suite 9A
Bloomington, IL 61704-4497

Fax (309) 663-8812

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XNone listed

Chiropractor: 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.

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About NPI 1467428409

Leslie R. Quiram, DC's National Provider Identifier is 1467428409, issued on Feb 28, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Bloomington, IL. The record was last updated on Dec 4, 2007.