Individual
DR. JOHN PAUL GRUMISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
40 BRIARCLIFF PROFESSIONAL CENTER, BOURBONNAIS, IL 60914-1775
(815) 939-0990
(815) 939-0822
Mailing address
40 BRIARCLIFF PROFESSIONAL CENTER, BOURBONNAIS, IL 60914-1775
(815) 939-0990
(815) 939-0822
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-003849
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038003849
—
IL
05
—
038007503
—
IL
01
—
350009461
RAILROAD MEDICARE NUMBER
IL
Enumeration date
07/03/2006
Last updated
06/05/2013
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