Healthcare Provider Details

I. General information

NPI: 1669779393
Provider Name (Legal Business Name): GELBAND NATURAL HEALTH SOLUTIONS SC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/15/2011
Last Update Date: 06/10/2024
Certification Date: 06/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5201 WALNUT AVE SUITE 2
DOWNERS GROVE IL
60515-4073
US

IV. Provider business mailing address

5204 WALNUT AVE SUITE 2
DOWNERS GROVE IL
60515
US

V. Phone/Fax

Practice location:
  • Phone: 630-505-4040
  • Fax: 630-719-9703
Mailing address:
  • Phone: 630-505-4040
  • Fax: 630-505-9847

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number038.004563
License Number StateIL

VIII. Authorized Official

Name: DR. RICHARD LEON GELBAND
Title or Position: OWNER
Credential: DC
Phone: 630-505-4040