Organization
GULLEDGE CHIROPRACTIC P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN LYNN GULLEDGE D.C. (CHIROPRACTOR)
(630) 390-8074
Entity
Organization
Contact information
Practice address
477 S WEBER RD, BOLINGBROOK, IL 60490-5504
(630) 390-8074
Mailing address
477 S WEBER RD, BOLINGBROOK, IL 60490-5504
(630) 390-8074
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-006606
IL
Other
Enumeration date
10/03/2008
Last updated
10/03/2008
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