| Gunderson Clinic Of Chiropractic Inc. | |
|
699 S Blackhawk Blvd, Rockton, IL 61072-2909 | |
| (815) 624-2669 | |
| (815) 624-0488 |
| Full Name | Gunderson Clinic Of Chiropractic Inc. |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 699 S Blackhawk Blvd, Rockton, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528256989 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (Illinois) | Primary |
| Provider Name | Dwight C Gunderson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1104937614 PECOS PAC ID: 2466540653 Enrollment ID: I20071126000210 |
| Provider Name | Rhett C Gunderson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1497067433 PECOS PAC ID: 9032235742 Enrollment ID: I20100929001564 |
| Provider Name | Jeremy A Gunderson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1982715488 PECOS PAC ID: 7113190752 Enrollment ID: I20111027000232 |
| Mailing Address | Practice Location Address |
|---|---|
| Gunderson Clinic Of Chiropractic Inc. 506 South Blackhawk, Rockton, IL 61072-2909 Ph: (815) 624-2669 | Gunderson Clinic Of Chiropractic Inc. 699 S Blackhawk Blvd, Rockton, IL 61072-2909 Ph: (815) 624-2669 |
Mr. Dwight Charles Gunderson, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 506 S Blackhawk, Rockton, IL 61072 Phone: 815-624-2669 Fax: 815-624-0488 | |
Dr. David D. Hamilton, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1013 Aldrin Rd, Rockton, IL 61072 Phone: 815-624-4405 | |
Rhett Charles Gunderson, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 506 S Blackhawk Blvd, Rockton, IL 61072 Phone: 815-624-2669 | |
Mr. Jeremy A. Gunderson, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 506 S Blackhawk, Rockton, IL 61072 Phone: 815-624-2669 Fax: 815-624-0488 |