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BIOBLU LLC NPI 1346495512


NPI Information

NPI: 1346495512
Provider Name: BIOBLU, LLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
9229 S 78TH AVE
HICKORY HILLS, IL
ZIP 60457
Phone: (866) 288-3822
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BIOBLU, LLC is a chiropractor in Hickory Hills, 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. BIOBLU, LLC NPI is 1346495512. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

9229 S 78TH AVE
HICKORY HILLS, IL
ZIP 60457-133
Phone: (866) 288-3822

The provider's authorized official is Ryan Daniel Novak .
The authorized official title is Advisory Physician and has the following contact phone number (866) 288-3822.

The enumeration date for this NPI number is 12/1/2008 and was last updated on 8/28/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111NN0400XChiropractorNeurology038011143ILLINOISNo
2111NT0100XChiropractorThermography038011143ILLINOISNo
3111NN0400XChiropractorNeurology038011278ILLINOISNo
4111NN1001XChiropractorNutrition038011278ILLINOISNo
5111NT0100XChiropractorThermography038011278ILLINOISNo
6111N00000XChiropractor038011278ILLINOISYes

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: 11/14/2023

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