MEDICARE: DR. DAVID A GINSBERG DC

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	111N00000X	Chiropractor		IL

General Provider Information

NPI Number	:	1922121656
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID A GINSBERG DC

Provider Business Mailing Address
First Line	:	1795 W STATE ST
Second Line	:	SUITE D
City	:	GENEVA
State	:	IL
Zip	:	60134-4709
Country	:	US
Telephone Number	:	630-232-6400
Fax Number	:	630-232-6404

Provider Business Practice Location Address
First Line	:	1795 W STATE ST
Second Line	:	SUITE D
City	:	GENEVA
State	:	IL
Zip	:	60134-4709
Country	:	US
Telephone Number	:	630-232-6400
Fax Number	:	630-232-6404

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/09/2007
Last Update Date	:	07/08/2007

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Directions to “ DR. DAVID A GINSBERG DC” Practice Location

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