MEDICARE: WILLIAM VOGDS DC LTD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2300X	Primary Care Clinic/Center		IL

General Provider Information

NPI Number	:	1003163312
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WILLIAM VOGDS DC LTD

Provider Business Mailing Address
First Line	:	25W330 GENEVA ROAD
Second Line	:
City	:	CAROL STREAM
State	:	IL
Zip	:	60188
Country	:	US
Telephone Number	:	630-605-1741
Fax Number	:

Provider Business Practice Location Address
First Line	:	25W330 GENEVA RD
Second Line	:
City	:	CAROL STREAM
State	:	IL
Zip	:	60188-2328
Country	:	US
Telephone Number	:	630-605-1741
Fax Number	:

Authorized Official
Title or Position	:	OWNER/
Name	:	DR. WILLIAM JOHN VOGDS
Credential	:	DC
Telephone Number	:	630-605-1741

Provider Enumeration Date	:	08/07/2012
Last Update Date	:	07/21/2022

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