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General NPI Number Information
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NPI Number | 1336213412
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Entity Type | Organization
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Legal Business Name | KEN R KREBS DN DC LTD
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Dates
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Enumeration Date | 11/20/2006
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Last Update Date | 03/10/2023
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Provider Practice Location Address
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Address Line | 930 NORTH YORK ROAD SUITE 100
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City | HINSDALE
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State | IL
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Zip | 60521
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Country | US
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Telephone | 708-354-7344
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Fax |
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Provider Business Mailing Address
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Address Line | 930 NORTH YORK ROAD SUITE 100
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City | HINSDALE
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State | IL
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Zip | 60521
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Country | US
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Telephone | 708-354-7344
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. KEN R KREBS
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Credential | DN DC
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Telephone | 708-354-7344
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 038006896
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License Number State | IL
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