Organization
GLESENER CHIROPRACTIC CENTER PC
Active
Other names
Fox Valley Chiropractic Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK JOHN GLESENER DC (OWNER)
(630) 747-8844
Entity
Organization
Contact information
Practice address
1750 E MAIN ST, SUITE 60, ST CHARLES, IL 60174-2363
(630) 377-8844
(630) 377-8404
Mailing address
1750 E MAIN ST STE 60, ST CHARLES, IL 60174-2363
(630) 377-8844
(630) 377-8404
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-006085
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04532055
BLUE CROSS BLUE SHIELD
IL
Enumeration date
05/08/2007
Last updated
11/16/2023
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