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Gregory R Polovich
Chiropractor in Taylorville, Illinois
NPI 1023027216

Gregory R Polovich is a Chiropractor based in Taylorville, IL. Gregory R Polovich practices in Taylorville, IL. The NPI Number for Gregory R Polovich is 1023027216 and holds a License No. 038-004196 (Illinois).

The current practice location address for Gregory R Polovich is 915 W Spresser St, Taylorville, IL and can be reached out via phone at 217-824-6222 and via fax at 217-824-5511.

Location: 915 W Spresser St, Taylorville, IL, 62568-9103
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023027216
Provider Name
Gregory R Polovich
Credential
Provider Entity Type
Individual
Gender
Male
Address
915 W Spresser St, Taylorville, IL, 62568-9103
Phone Number
217-824-6222
Fax Number
217-824-5511
Provider Enumeration Date
08/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8782001 01 IL BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
915 W Spresser St
City
Taylorville
State
Illinois
Zip
62568-1831
Phone Number
217-824-6222
Fax Number
217-824-5511
person
Provider Business Mailing Address Details
Address
915 W Spresser St
City
Taylorville
State
Illinois
Zip
62568-1831
Phone Number
217-824-6222
Fax Number
217-824-5511
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
038-004196 (Illinois)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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