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POPLAR GROVE NATURAL HEALTH CENTER INC NPI 1477941391


NPI Information

NPI: 1477941391
Provider Name: POPLAR GROVE NATURAL HEALTH CENTER INC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
13508 JULIE DR
POPLAR GROVE, IL
ZIP 61065
Phone: (815) 765-3727
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POPLAR GROVE NATURAL HEALTH CENTER INC is a chiropractor in Poplar Grove, 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. POPLAR GROVE NATURAL HEALTH CENTER INC NPI is 1477941391. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

13508 JULIE DR
POPLAR GROVE, IL
ZIP 61065-829
Phone: (815) 765-3727
Fax: (815) 765-0935

The provider's authorized official is Vincent J Hope .
The authorized official title is Owner and has the following contact phone number (815) 765-3727.

The enumeration date for this NPI number is 12/30/2014 and was last updated on 12/30/2014.


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
1111N00000XChiropractor038007468ILLINOISYes

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
1214008MEDICARE 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: 4/28/2024

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