Premier Chiropractic Rockford

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

PREMIER CHIROPRACTIC ROCKFORD

Practice address

123 N Alpine Rd
A
Rockford, IL 61107-4980

Phone

(815) 227-9949

NPI assigned

Feb 6, 2008

Last updated

Feb 6, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Peter James Gabryshak, D.C.NPI 1881806032

Title

Manager

Phone

(815) 227-9949

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Peter James Gabryshak, D.C.

  • Chiropractor
  • Rockford, IL
  • NPI 1881806032
  NPD (past) Authorized official
• Deedee M Wampfler, D.C.

  • Chiropractor
  • Stockton, IL
  • NPI 1154463123
  NPD (past)
• Michael A Wampfler, D.C.

  • Chiropractor
  • Stockton, IL
  • NPI 1023150992
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202256000000",
    "number": "1144408774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 N ALPINE RD",
            "address_2": "A",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611074980",
            "telephone_number": "815-227-9949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 N ALPINE RD",
            "address_2": "A",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611074980",
            "telephone_number": "815-227-9949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER CHIROPRACTIC ROCKFORD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-06",
        "last_updated": "2008-02-06",
        "status": "A",
        "authorized_official_last_name": "GABRYSHAK",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "815-227-9949",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bailey Prado, OTD, OTR/L
• Sanjay Prasad, M.D.
• Sonika Bindu Prasad, MD
• Melanie Dale Preddy, CCC-SLP
• Valeriya Predenko, DMD
• Premise Health of Illinois Medical PC (My Health Center At Lowe's Rockford)
• Emily Kay Prengel, PTA
• Jessica Prenot, NP
• Presence Life Connections (Ascension Living Saint Anne Place)
• Presence Life Connections (Presence Cor Mariae Center)

• Chiropractor in Rockford, IL
• Providers in Rockford, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.