Organization
INTEGRATED CHIROPRACTIC OF THE NORTH SHORE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK GRUMET DC (OWNER)
(847) 897-8888
Entity
Organization
Contact information
Practice address
666 DUNDEE RD, SUITE 307, NORTHBROOK, IL 60062-2727
(847) 897-8888
Mailing address
666 DUNDEE RD, SUITE 307, NORTHBROOK, IL 60062-2727
(847) 897-8888
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-009467
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01628196
BCBSIL
IL
Enumeration date
03/15/2006
Last updated
01/22/2013
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