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Contact Information

GRAY CLINIC OF CHIROPRACTIC, LTD
207 E. OAK ST
MAHOMET, IL61853
 Phone: 217-586-3886
 Fax: 217-586-4848
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for GRAY CLINIC OF CHIROPRACTIC, LTD

NPI Number 1538378757
LBN Legal business name GRAY CLINIC OF CHIROPRACTIC, LTD
Authorized official KEVIN GRAY - (OWNER, DR.)
Entity Organization
Organization subpart 1 No
Enumeration date 05/22/2007
Last updated 11/09/2007 - About 19 years ago
Identifiers
IL Other 1015033 BLUE CROSS PIN
IL Other 229436 HEALTHLINK PIN
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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