KBJ CHIROPRACTIC PC NPI 1114272010

NPI Information

  • NPI: 1114272010
  • Provider Name: KBJ CHIROPRACTIC PC
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Address: 1736 ESSINGTON RD
    JOLIET, IL
    ZIP 60435
  • Phone: (815) 577-8527

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NPI Details

KBJ CHIROPRACTIC PC is a clinic center in Joliet, IL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). KBJ CHIROPRACTIC PC NPI is 1114272010. The provider is registered as an organization entity type.

The provider's business location address is:

1736 ESSINGTON RD
JOLIET, IL
ZIP 60435-600
Phone: (815) 577-8527

The provider's authorized official is Bryon Coker .
The authorized official title is Owner and has the following contact phone number (815) 577-8527.

The enumeration date for this NPI number is 7/17/2012 and was last updated on 7/17/2012.

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
1261Q00000XClinic/Center038009082ILLINOISYes

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
1624170MEDICARE UPINILLINOIS

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: 3/30/2025

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