Individual
RODNEY V. GABBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
330 W TERRA COTTA AVE, CRYSTAL LAKE, IL 60014-3552
(815) 455-1751
(815) 455-9450
Mailing address
330 W TERRA COTTA AVE, CRYSTAL LAKE, IL 60014-3552
(815) 455-1751
(815) 455-9450
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
038-004858
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GABBEROD
MERCYCARE INSURANCE
WI
01
—
P0042085CG6042
RR MEDICARE
IL
Enumeration date
08/14/2006
Last updated
11/15/2011
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