Organization · Type 2 NPI
Centegra Primary Care LLC
Chiropractor · Mchenry, IL
NPI number
1962832873
Active
Practice location
2507 North Richmond Road
Mchenry, IL 60050
Fax (815) 344-6473
Mailing address
4201 Medical Center Drive
Mchenry, IL 60050-8409
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 038012345 (IL) |
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 1962832873
Centegra Primary Care LLC's National Provider Identifier is 1962832873, issued on Nov 14, 2013. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Mchenry, IL. The record was last updated on Nov 14, 2013.