Body Genesis Center for Integrative Medicine LLC

Organization Active NPI Rehabilitation Chiropractor · Westchester, IL

NPI 1295960276 · NPPES record last updated May 20, 2009

Key facts

NPI
1295960276
Entity type
Organization (NPI type 2)
Primary specialty
Rehabilitation Chiropractor 111NR0400X
License
038.010603 (IL)
Legal business name
BODY GENESIS CENTER FOR INTEGRATIVE MEDICINE LLC
Practice address
937 S Mannheim Rd
Westchester, IL 60154-2552
Phone
(708) 343-3368
NPI assigned
May 20, 2009
Organization subpart
No

Authorized official

Name
Dr. Solomon Liburd, DO
Title
Ceo/President
Phone
(708) 343-3368

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

2011 E 75th St
Chicago, IL 60649
Phone (312) 225-1100

2930 S Michigan Ave
Ste 108
Chicago, IL 60616
Phone (312) 225-1100

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor
Group: 193400000X SINGLE SPECIALTY GROUP
111NR0400X 038.010603 IL Yes

Addresses

Primary practice location

937 S Mannheim Rd
Westchester, IL 60154-2552

Mailing address

937 S Mannheim Rd
Westchester, IL 60154-2552
Phone (708) 343-3368

Other providers in Westchester, IL

All providers in Westchester, IL · Rehabilitation Chiropractor in Illinois

Sources for this page

Verify at the official NPI Registry.