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Organization
TRIPLE C CHIROPRACTIC PA
Active
Organization
TRIPLE C CHIROPRACTIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL V GRUNERT DC (CEO)
(815) 774-9985
Entity
Organization
Contact information
Practice address
11130 JOLLEYVILLE RD, STE #201, AUSTIN, TX 78759
(512) 343-8333
(512) 343-8222
Mailing address
101 HEMPSTEAD PL, JOLIET, IL 60433
(815) 774-9985
(815) 774-0235
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0033PD
TX GROUP #
TX
Enumeration date
01/03/2007
Last updated
08/22/2020
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