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Dr. Robert Matthew Gretencord, DC
Chiropractor in Ottawa, Illinois
NPI 1992898399

Robert Matthew Gretencord is a Chiropractor based in Ottawa, IL. Robert Matthew Gretencord practices in Ottawa, IL and has the professional credentials of DC. The NPI Number for Robert Matthew Gretencord is 1992898399 and holds a License No. 038-009691 (Illinois).

The current practice location address for Robert Matthew Gretencord is 106 W Mckinley Rd, Ottawa, IL and can be reached out via phone at 815-434-1616 and via fax at 815-434-1625. You can also correspond with Robert Matthew Gretencord through the mailing address at 106 W MCKINLEY RD, OTTAWA, IL - 61350-4713 (mailing address contact number: 815-434-1616).

Location: 106 W Mckinley Rd, Ottawa, IL, 61350-4713
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992898399
Provider Name
Robert Matthew Gretencord
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
106 W Mckinley Rd, Ottawa, IL, 61350-4713
Phone Number
815-434-1616
Fax Number
815-434-1625
Provider Enumeration Date
09/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0001634958 01 IL BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
106 W Mckinley Rd
City
Ottawa
State
Illinois
Zip
61350-4713
Phone Number
815-434-1616
Fax Number
815-434-1625
person
Provider Business Mailing Address Details
Address
106 W Mckinley Rd
City
Ottawa
State
Illinois
Zip
61350-4713
Phone Number
815-434-1616
Fax Number
815-434-1625
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
038-009691 (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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