Organization
HULSEBUS AND GEHLSEN CHIROPRACTIC
Active
Other names
Hulsebus Chiropractic Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY P GEHLSEN D.C. (VICE PRESIDENT DIRECTOR)
(815) 235-7858
Entity
Organization
Contact information
Practice address
630 TERRA WEST DR, FREEPORT, IL 61032-4536
(815) 235-7858
(815) 235-7913
Mailing address
630 TERRA WEST DR, FREEPORT, IL 61032-4536
(815) 235-7858
(815) 235-7913
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
060005547
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
210296
MEDICARE P-TAN
IL
Enumeration date
04/10/2007
Last updated
09/22/2015
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