Organization
GRUMISH CHIROPRACTIC OFFICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN PAUL GRUMISH DC (DIRECTOR OWNER)
(815) 939-0990
Entity
Organization
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4682102
BCBS
IL
Enumeration date
03/13/2007
Last updated
08/22/2020
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