Gary David Broom, D.C.

Chiropractor · Loves Park, IL

Individual Active NPI

NPI number 1881795870

Practice location

1820 Windsor Rd
Suit a
Loves Park, IL 61111-4271
Phone
(815) 986-4411
Fax
(815) 986-4414

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NPI record

NPI
1881795870
Entity type
Individual (Type 1)
Enumeration date
September 25, 2006
Last updated
March 31, 2009
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Chiropractor Primary 111N00000X 038-008602 IL
Sports Physician Chiropractor 111NS0005X 038008602 IL

About Dr. Broom

Gary David Broom, D.C. is a healthcare provider registered in the NPI registry with the primary taxonomy Chiropractor (code 111N00000X). The practice location is 1820 Windsor Rd, Suit a, Loves Park, IL 61111-4271. The NPI number 1881795870 was assigned on September 25, 2006 and the record was last updated on March 31, 2009.

Dr. Broom lists 2 licenses in the registry: #038-008602 (IL) for Chiropractor; #038008602 (IL) for Sports Physician Chiropractor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Gary David Broom, D.C.?

The NPI number is 1881795870.

What is the phone number of Dr. Broom?

The phone number listed for the practice location is (815) 986-4411.

Where is Dr. Broom located?

1820 Windsor Rd, Suit a, Loves Park, IL 61111-4271.

What is the taxonomy code for Dr. Broom?

The primary taxonomy code is 111N00000X – Chiropractor; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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