Organization
GERGOVICH FAMILY CHIROPRACTIC, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL JAMES GERGOVICH D.C. (DOCTOR OF CHIROPRACTIC)
(815) 228-8137
Entity
Organization
Contact information
Practice address
130 3RD ST, LA SALLE, IL 61301
(815) 223-0647
(815) 223-0987
Mailing address
130 3RD ST, LA SALLE, IL 61301-2312
(815) 223-0647
(815) 223-0987
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038011831
IL
Other
Enumeration date
04/18/2011
Last updated
11/28/2018
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