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GLESENER CHIROPRACTIC CENTER PC NPI 1073726626


NPI Information

NPI: 1073726626
Provider Name: GLESENER CHIROPRACTIC CENTER PC

Other Name: FOX VALLEY CHIROPRACTIC PHYSICIANS

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
1750 E MAIN ST
SUITE 60
ST CHARLES, IL
ZIP 60174
Phone: (630) 377-8844
Get Directions

GLESENER CHIROPRACTIC CENTER PC is a chiropractor in St Charles, IL. The provider is 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. GLESENER CHIROPRACTIC CENTER PC NPI is 1073726626. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Fox Valley Chiropractic Physicians.

The provider's business location address is:

1750 E MAIN ST
SUITE 60
ST CHARLES, IL
ZIP 60174-363
Phone: (630) 377-8844
Fax: (630) 377-8404

The provider's authorized official is Mark John Glesener .
The authorized official title is Owner and has the following contact phone number (630) 747-8844.

The enumeration date for this NPI number is 5/8/2007 and was last updated on 11/16/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor038-006085ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
104532055OTHERILLINOISBLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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