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Mr. John Nolan Bouma, DC
Chiropractor in Grayslake, Illinois
NPI 1649455502

John Nolan Bouma is a Chiropractor based in Grayslake, IL. John Nolan Bouma practices in Grayslake, IL and has the professional credentials of DC. The NPI Number for John Nolan Bouma is 1649455502 and holds a License No. (Illinois).

The current practice location address for John Nolan Bouma is 419 Center St, Grayslake, IL and can be reached out via phone at 847-543-1055 and via fax at 847-543-8648.

Location: 419 Center St, Grayslake, IL, 60030-1625
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649455502
Provider Name
John Nolan Bouma
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
419 Center St, Grayslake, IL, 60030-1625
Phone Number
847-543-1055
Fax Number
847-543-8648
Provider Enumeration Date
01/09/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4915076 01 IL BCBS
institution
Provider Business Practice Location Address Details
Address
419 Center St
City
Grayslake
State
Illinois
Zip
60030-1625
Phone Number
847-543-1055
Fax Number
847-543-8648
person
Provider Business Mailing Address Details
Address
419 Center St
City
Grayslake
State
Illinois
Zip
60030-1625
Phone Number
847-543-1055
Fax Number
847-543-8648
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
(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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