Organization
FIMREITE CHIROPRACTIC, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GORDON K. FIMREITE D.C. (PRESIDENT)
(708) 352-3352
Entity
Organization
Contact information
Practice address
4727 WILLOW SPRINGS RD, LA GRANGE, IL 60525-6140
(708) 352-3352
Mailing address
4727 WILLOW SPRINGS RD, LA GRANGE, IL 60525-6140
(708) 352-3352
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01632800
BCBS
IL
Enumeration date
03/14/2007
Last updated
11/05/2007
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