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DR. KYLE EDWARD BERGBOWER D.C.

>> Chiropractor >> Chiropractic Providers

Registrant NPI Number: 1932476686

Individual Registrant:
DR. KYLE EDWARD BERGBOWER D.C.
Gender: M
Sole Proprietor

Location and contact information for practice:
100 W CUMBERLAND ST.  GREENUP, IL 62428-0825 US
Tel: 217-923-0100  Fax: 217-923-0201

Contact information for business:
PO BOX 825  GREENUP, IL 62428-0825 US
Tel: 217-923-0100  Fax: 217-923-0201

Registration Information:
NPI: 1932476686
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y111N00000XChiropractic Providers
Chiropractor
IL038-012062

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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