Individual
DR. KENNETH ERVIN BAUMRUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
319 S. MAIN ST., ELBURN, IL 60119
(630) 365-5432
(630) 365-6160
Mailing address
319 S. MAIN ST., P.O. BOX 382, ELBURN, IL 60119
(630) 365-5432
(630) 365-6160
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Enumeration date
08/14/2006
Last updated
07/08/2007
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