GARY D BROOM, D.C., Chiropractor LOVES PARK, IL

Contact Information

GARY D BROOM, D.C.

1820 WINDSOR RD
SUIT A
LOVES PARK, IL 61111-4271

Phone: 815-986-4411
Fax: 815-986-4414
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Chiropractor	111N00000X	35	Chiropractic
Sports Physician	111NS0005X	35	Chiropractic

Indicates primary specialty

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NPI Profile & details for GARY D BROOM · (Male)

NPI Number	`1881795870`
Status	Active
Credentials	D.C. (Doctor of Chiropractic)
Entity	Individual
Enumeration date	09/25/2006
Last updated	03/31/2009 - About 17 years ago
Sole proprietor ¹	No
Identifiers	IL License # 038-008602 IL License # 038008602
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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