Organization
GABRYSHAK CHIROPRACTIC, INC
Active
Other names
Premier Chiropractic Rockford
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER J GABRYSHAK D.C.,L.C.P. (PRESIDENT)
(815) 227-9949
Entity
Organization
Contact information
Practice address
123 N ALPINE RD, STE A, ROCKFORD, IL 61107-4980
(815) 227-9949
Mailing address
123 N ALPINE RD, SUITE A, ROCKFORD, IL 61107-4980
(815) 975-8644
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038008484
IL
Other
Enumeration date
07/20/2009
Last updated
07/20/2009
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