Healthcare Provider Details

I. General information

NPI: 1386561348
Provider Name (Legal Business Name): GREGORY DAVID CRAMER DC, PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 E ROOSEVELT RD
LOMBARD IL
60148-4539
US

IV. Provider business mailing address

200 E ROOSEVELT RD
LOMBARD IL
60148-4539
US

V. Phone/Fax

Practice location:
  • Phone: 630-889-6536
  • Fax: 630-495-6664
Mailing address:
  • Phone: 630-889-6536
  • Fax: 630-495-6664

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number038.006529
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: