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Dr. Edvard Lc Gerega, DC
Chiropractor in Fulton, Illinois
NPI 1356488241

Edvard Lc Gerega is a Chiropractor based in Fulton, IL. Edvard Lc Gerega practices in Fulton, IL and has the professional credentials of DC. The NPI Number for Edvard Lc Gerega is 1356488241 and holds a License No. 038006218 (Illinois).

The current practice location address for Edvard Lc Gerega is 1013 4Th Street, Fulton, IL and can be reached out via phone at 815-589-3291 and via fax at 815-589-3291.

Location: 1013 4Th Street, Fulton, IL, 61252-1715
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356488241
Provider Name
Edvard Lc Gerega
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
1013 4Th Street, Fulton, IL, 61252-1715
Phone Number
815-589-3291
Fax Number
815-589-3291
Provider Enumeration Date
01/31/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0002906967 01 IL BCBS
institution
Provider Business Practice Location Address Details
Address
1013 4Th Street
City
Fulton
State
Illinois
Zip
61252-1715
Phone Number
815-589-3291
Fax Number
815-589-3291
person
Provider Business Mailing Address Details
Address
1013 4Th Street
City
Fulton
State
Illinois
Zip
61252-1715
Phone Number
815-589-3291
Fax Number
815-589-3291
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
038006218 (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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