Organization
GRUNEWALD CHIROPRACTIC CLINIC, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN R GRUNEWALD D.C. (PRESIDENT)
(815) 233-2254
Entity
Organization
Contact information
Practice address
1630 S GALENA AVE, SUITE A, FREEPORT, IL 61032-2518
(815) 233-2254
(815) 233-2253
Mailing address
1630 S GALENA AVE STE A, P.O. BOX 754, FREEPORT, IL 61032-2518
(815) 233-2254
(815) 233-2253
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07123205
BCBS
IL
Enumeration date
02/07/2007
Last updated
08/22/2020
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