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KIMBERLY M EGLY LTD NPI 1366516817


NPI Information

NPI: 1366516817
Provider Name: KIMBERLY M EGLY LTD

Doing Business As: GOLD COAST CHIROPRACTIC

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
1150 N STATE ST STE 320
CHICAGO, IL
ZIP 60610
Phone: (312) 988-9655
Get Directions

KIMBERLY M EGLY LTD is a chiropractor in Chicago, 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. KIMBERLY M EGLY LTD NPI is 1366516817. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Gold Coast Chiropractic.

The provider's business location address is:

1150 N STATE ST STE 320
CHICAGO, IL
ZIP 60610-481
Phone: (312) 988-9655
Fax: (312) 988-7060

The provider's authorized official is Kimberly M Egly .
The authorized official title is Owner and has the following contact phone number (312) 988-9655.

The enumeration date for this NPI number is 11/17/2006 and was last updated on 8/22/2020.


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
1111N00000XChiropractorILLINOISYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11682319OTHERILLINOISBLUE 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: 4/28/2024

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