Organization
BIOBLU, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN DANIEL NOVAK D.C. (ADVISORY PHYSICIAN)
(866) 288-3822
Entity
Organization
Contact information
Practice address
9229 S 78TH AVE, HICKORY HILLS, IL 60457-2133
(866) 288-3822
Mailing address
9229 S 78TH AVE, HICKORY HILLS, IL 60457-2133
(866) 288-3822
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038011278
IL
111NN0400X
Neurology Chiropractor
038011143
IL
111NN0400X
Neurology Chiropractor
038011278
IL
111NN1001X
Nutrition Chiropractor
038011278
IL
111NT0100X
Thermography Chiropractor
038011143
IL
111NT0100X
Thermography Chiropractor
038011278
IL
Other
Enumeration date
12/01/2008
Last updated
08/28/2012
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