Broom, Gary David

Broom, Gary David is an individual health care provider with primary practice located at 1820 Windsor Rd Suit A, Loves Park IL 61111-4271. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Sports Physician. Chiropractic Providers / Chiropractor is his primary health care specialty. Broom, Gary David can be contacted via phone (815) 986-4411.

Contact Information

Primary practice address
1820 Windsor Rd Suit A Loves Park IL 61111-4271
Phone: (815) 986-4411
Fax: (815) 986-4414
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 038-008602 Illinois
Chiropractic Providers / Sports Physician 111NS0005X 038008602 Illinois

Profile Details

NPI number 1881795870
LBN Legal business name Broom, Gary David
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated Mar 31st, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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