MEDICARE: KREFMAN CHIROPRACTIC AND REHABILITATION, LLC

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	:	1730849910
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KREFMAN CHIROPRACTIC AND REHABILITATION, LLC

Provider Business Mailing Address
First Line	:	2551 COMPASS RD STE 110
Second Line	:
City	:	GLENVIEW
State	:	IL
Zip	:	60026-8042
Country	:	US
Telephone Number	:	224-329-0097
Fax Number	:

Provider Business Practice Location Address
First Line	:	2551 COMPASS RD STE 110
Second Line	:
City	:	GLENVIEW
State	:	IL
Zip	:	60026-8042
Country	:	US
Telephone Number	:	224-329-0097
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	DR. DOUGLAS KREFMAN
Credential	:	DC
Telephone Number	:	224-628-9732

Provider Enumeration Date	:	12/29/2021
Last Update Date	:	12/29/2021

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