Individual provider · Type 1 NPI
Robert Matthew Gretencord, DC
Chiropractor · Ottawa, IL
NPI number
1992898399
Active
Practice location
106 W Mckinley Rd
Ottawa, IL 61350-4713
Fax (815) 434-1625
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 038-009691 (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 1992898399
Robert Matthew Gretencord, DC's National Provider Identifier is 1992898399, issued on Sep 30, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Ottawa, IL. The record was last updated on Jul 19, 2017.