Primal Chiropractic LTD.

Chiropractor · Palos Heights, IL

Organization Active NPI

NPI number 1962882209

Practice location

12211 S Harlem Ave Ste 1s
Palos Heights, IL 60463-1471
Phone
(708) 671-8082
Fax
(708) 777-4764

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NPI record

NPI
1962882209
Entity type
Organization (Type 2)
Enumeration date
June 2, 2015
Last updated
June 2, 2015
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Chiropractor Primary 111N00000X 038012701 IL

Authorized official

Name
Dr. Ryan Jon Gawron, D.C.
Title
President
Phone
(708) 671-8082

About Primal Chiropractic LTD.

Primal Chiropractic LTD. is a healthcare organization registered in the NPI registry with the primary taxonomy Chiropractor (code 111N00000X). The practice location is 12211 S Harlem Ave Ste 1s, Palos Heights, IL 60463-1471. The NPI number 1962882209 was assigned on June 2, 2015 and the record was last updated on June 2, 2015.

Primal Chiropractic LTD. lists a license in the registry: #038012701 (IL) for Chiropractor. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Dr. Ryan Jon Gawron, D.C., President.

Frequently asked questions

What is the NPI number of Primal Chiropractic LTD.?

The NPI number is 1962882209.

What is the phone number of Primal Chiropractic LTD.?

The phone number listed for the practice location is (708) 671-8082.

Where is Primal Chiropractic LTD. located?

12211 S Harlem Ave Ste 1s, Palos Heights, IL 60463-1471.

What is the taxonomy code for Primal Chiropractic LTD.?

The primary taxonomy code is 111N00000X – Chiropractor.

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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