Organization
INTEGRATED HEALTH, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY T. KUHLMAN DC (OWNER)
(815) 639-1090
Entity
Organization
Contact information
Practice address
6443 E. RIVERSIDE BOULEVARD, SUITE101, ROCKFORD, IL 61114
(815) 639-1090
(815) 639-9860
Mailing address
6443 E. RIVERSIDE BOULEVARD, SUITE101, ROCKFORD, IL 61114
(815) 639-1090
(815) 639-9860
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
042617189
IL
207L00000X
Anesthesiology Physician
036049364
IL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
036049364
IL
332B00000X
Durable Medical Equipment & Medical Supplies
6325720001
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05623778
BCBS
IL
Enumeration date
12/12/2006
Last updated
11/03/2020
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