Organization
HILLGROVE FAMILY CHIROPRACTIC
Active
Other names
Richard Kupcho
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANICE MARIE POSCH (OFFICE MANAGER)
(708) 352-4866
Entity
Organization
Contact information
Practice address
817 W HILLGROVE AVE, LA GRANGE, IL 60525-5822
(708) 352-4866
(708) 352-1387
Mailing address
817 W HILLGROVE AVE, LA GRANGE, IL 60525-5822
(708) 352-4866
(708) 352-1387
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-006294
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1618016
BLUE CROSS AND BLUE SHILED OF ILLINOIS
IL
Enumeration date
12/29/2010
Last updated
05/02/2011
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