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Dr. Timothy Joseph Griesbaum, DC
Chiropractor in Normal, Illinois
NPI 1336245091

Timothy Joseph Griesbaum is a Chiropractor based in Normal, IL. Timothy Joseph Griesbaum practices in Normal, IL and has the professional credentials of DC. The NPI Number for Timothy Joseph Griesbaum is 1336245091 and holds a License No. 038008016 (Illinois).

The current practice location address for Timothy Joseph Griesbaum is 1607 Visa Dr, Normal, IL and can be reached out via phone at 309-268-9888 and via fax at 309-268-9887.

Location: 1607 Visa Dr, Normal, IL, 61761-2137
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336245091
Provider Name
Timothy Joseph Griesbaum
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
1607 Visa Dr, Normal, IL, 61761-2137
Phone Number
309-268-9888
Fax Number
309-268-9887
Provider Enumeration Date
09/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5141563 01 IL AETNA
041774 01 IL HEALTH ALLIANCE
296417 01 IL HEALTHLINK
350046480 01 IL R/R MEDICARE
038008016 05 IL
05722922 01 IL BCBS
institution
Provider Business Practice Location Address Details
Address
1607 Visa Dr
City
Normal
State
Illinois
Zip
61761-2137
Phone Number
309-268-9888
Fax Number
309-268-9887
person
Provider Business Mailing Address Details
Address
1607 Visa Dr
City
Normal
State
Illinois
Zip
61761-2137
Phone Number
309-268-9888
Fax Number
309-268-9887
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
038008016 (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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