Individual provider · Type 1 NPI

John Nolan Bouma, DC

Chiropractor · Grayslake, IL

NPI number 1649455502 Active

Practice location

419 Center St, Suite B
Grayslake, IL 60030-1625

Fax (847) 543-8648

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 1649455502

John Nolan Bouma, DC's National Provider Identifier is 1649455502, issued on Jan 9, 2008. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Grayslake, IL. The record was last updated on Feb 20, 2008.