Individual
JOSHUA BERVEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
641 W STEPHENSON ST, FREEPORT, IL 61032-5005
(815) 238-9629
Mailing address
6921 ALVINA RD, ROCKFORD, IL 61101-7950
(515) 570-7297
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038.013304
IL
Other
Enumeration date
07/01/2014
Last updated
05/20/2024
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