FREEDLUND FAMILY CHIROPRATIC LTD NPI 1760682827

NPI Information

NPI: 1760682827
Provider Name: FREEDLUND FAMILY CHIROPRATIC LTD
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
119 S BENTON STREET
WINNEBAGO, IL
ZIP 61088
Phone: (815) 335-1381
Get Directions

FREEDLUND FAMILY CHIROPRATIC LTD is a chiropractor in Winnebago, 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. FREEDLUND FAMILY CHIROPRATIC LTD NPI is 1760682827. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

119 S BENTON STREET
WINNEBAGO, IL
ZIP 61088-589
Phone: (815) 335-1381
Fax: (815) 335-7601

The provider's authorized official is Jon S Freedlund .
The authorized official title is Office Manager and has the following contact phone number (815) 335-1381.

The enumeration date for this NPI number is 7/18/2007 and was last updated on 5/2/2008.

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
1	111N00000X	Chiropractor				Yes

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
1	10127625	OTHER	ILLINOIS	BLUE CROSS BLUE SHIELD
2	364484331	OTHER	ILLINOIS	HEALTH SYSTEMS MANAGEMENT
3	038009034	MEDICAID	ILLINOIS
4	212862	MEDICARE PIN	ILLINOIS

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

NPI Synchronization or Removal

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