MEDICARE: STEVEN G. KEHRES, D.C.,S.C.

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	:	1033307244
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STEVEN G. KEHRES, D.C.,S.C.

Provider Business Mailing Address
First Line	:	968 E ROLLINS RD
Second Line	:
City	:	ROUND LAKE BEACH
State	:	IL
Zip	:	60073-2247
Country	:	US
Telephone Number	:	847-223-1220
Fax Number	:	847-223-1271

Provider Business Practice Location Address
First Line	:	968 E ROLLINS RD
Second Line	:
City	:	ROUND LAKE BEACH
State	:	IL
Zip	:	60073-2247
Country	:	US
Telephone Number	:	847-223-1220
Fax Number	:	847-223-1271

Authorized Official
Title or Position	:	PRESIDENT/OWNER
Name	:	DR. STEVEN GERARD KEHRES
Credential	:	D.C.
Telephone Number	:	847-223-1220

Provider Enumeration Date	:	10/12/2007
Last Update Date	:	10/12/2007

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