Individual
DR. GARY DAVID BROOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1820 WINDSOR RD, SUIT A, LOVES PARK, IL 61111-4271
(815) 986-4411
(815) 986-4414
Mailing address
1820 WINDSOR RD, SUIT A, LOVES PARK, IL 61111-4271
(815) 986-4411
(815) 986-4414
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-008602
IL
111NS0005X
Sports Physician Chiropractor
038008602
IL
Other
Enumeration date
09/25/2006
Last updated
03/31/2009
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