MEDICARE: STERN CHIROPRACTIC LTD.

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	038009281	IL

General Provider Information

NPI Number	:	1992899124
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STERN CHIROPRACTIC LTD.

Provider Business Mailing Address
First Line	:	121 MCHENRY RD
Second Line	:
City	:	BUFFALO GROVE
State	:	IL
Zip	:	60089-1796
Country	:	US
Telephone Number	:	847-537-2225
Fax Number	:	847-537-2226

Provider Business Practice Location Address
First Line	:	121 MCHENRY RD
Second Line	:
City	:	BUFFALO GROVE
State	:	IL
Zip	:	60089-1796
Country	:	US
Telephone Number	:	847-537-2225
Fax Number	:	847-537-2226

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. GREGG STERN
Credential	:	D.C.
Telephone Number	:	847-537-2225

Provider Enumeration Date	:	10/03/2006
Last Update Date	:	09/16/2011

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