MEDICARE: GRUNDY FAMILY CHIROPRACTIC SC

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

General Provider Information

NPI Number	:	1043422033
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GRUNDY FAMILY CHIROPRACTIC SC

Provider Business Mailing Address
First Line	:	357 W NORTHWEST HWY
Second Line	:
City	:	PALATINE
State	:	IL
Zip	:	60067
Country	:	US
Telephone Number	:	847-358-9999
Fax Number	:	847-358-7651

Provider Business Practice Location Address
First Line	:	600 N NORTH CT STE 100
Second Line	:
City	:	PALATINE
State	:	IL
Zip	:	60067-8128
Country	:	US
Telephone Number	:	847-358-9999
Fax Number	:	847-358-7651

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ALICIA JANE GRUNDY
Credential	:	DC
Telephone Number	:	847-358-9999

Provider Enumeration Date	:	05/04/2007
Last Update Date	:	04/11/2024

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Directions to “GRUNDY FAMILY CHIROPRACTIC SC ” Practice Location

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