Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
PRIMAL CHIROPRACTIC LTD.
Active
Organization
PRIMAL CHIROPRACTIC LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN JON GAWRON D.C. (PRESIDENT)
(708) 671-8082
Entity
Organization
Contact information
Practice address
12211 S HARLEM AVE STE 1S, PALOS HEIGHTS, IL 60463-1471
(708) 671-8082
(708) 777-4764
Mailing address
12211 S HARLEM AVE STE 1S, PALOS HEIGHTS, IL 60463-1471
(708) 671-8082
(708) 777-4764
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038012701
IL
Other
Enumeration date
06/02/2015
Last updated
06/02/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up