Individual
GARETH TRICHARDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
197 W ROMEO RD, ROMEOVILLE, IL 60446-1564
(815) 293-3233
(815) 293-3235
Mailing address
219 ASHCROFT LN, OSWEGO, IL 60543-8396
(815) 302-4662
(815) 293-3235
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038008014
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038008014
—
IL
01
—
2222329
BLUE CROSS BLUE SHIELD
IL
Enumeration date
09/24/2006
Last updated
07/08/2007
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