Quiram Spinal & Sports Rehabilitation Ltd

LBN: Quiram Spinal & Sports Rehabilitation Ltd
Quiram Spinal & Sports Rehabilitation Ltd is an health care organization with primary practice located at 21108 N 25 East Road , Danvers IL 61732-4497. The organization recently has only one registered license in Chiropractic Providers / Rehabilitation, which is considered as the primary health care specialty. Quiram Spinal & Sports Rehabilitation Ltd can be contacted via phone (309) 662-6462, or through Quiram, Leslie R via phone (309) 662-6462.

Contact Information

Primary practice address
21108 N 25 East Road Danvers IL 61732-4497
Fax: (309) 965-2384
Website:
Authorized official contact:
Name: Quiram, Leslie R Doctor of Chiropractic (DC)

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Rehabilitation 111NR0400X 042-617717 Illinois

Profile Details

NPI number 1780760413
LBN Legal business name Quiram Spinal & Sports Rehabilitation Ltd
DBA Doing business as
Authorized official Quiram, Leslie R Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 27th, 2006
Last updated Aug 5th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780760413 NPPES
Illinois Other 5732002 BLUE CROSS BLUE SHIELD

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