DNA HEALTH SERVICES NPI 1932388519

NPI Information

  • NPI: 1932388519
  • Provider Name: DNA HEALTH SERVICES
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Address: 1820 WINDSOR RD
    SUIT A
    LOVES PARK, IL
    ZIP 61111
  • Phone: (815) 986-4411

Map and Directions

Get Directions

NPI Details

DNA HEALTH SERVICES is a general practice in Loves Park, IL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DNA HEALTH SERVICES NPI is 1932388519. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1820 WINDSOR RD
SUIT A
LOVES PARK, IL
ZIP 61111-271
Phone: (815) 986-4411

The provider's authorized official is Gary David Broom .
The authorized official title is President and has the following contact phone number (815) 986-4411.

The enumeration date for this NPI number is 10/30/2007 and was last updated on 3/31/2009.

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
1111N00000XChiropractor042619163ILLINOISNo
2111NS0005XChiropractorSports Physician042619163ILLINOISNo
3208D00000XGeneral Practice042619163ILLINOISYes

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
1U73389MEDICARE UPINILLINOIS
2528320MEDICARE PINILLINOIS

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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI