Gabryshak Chiropractic, Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038008484 Issued in IL

Legal business name

GABRYSHAK CHIROPRACTIC, INC

Doing business as

Premier Chiropractic Rockford

Practice address

123 N Alpine Rd
Ste a
Rockford, IL 61107-4980

Phone

(815) 227-9949

NPI assigned

Jul 20, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Peter J Gabryshak, D.C.,L.C.P.

Title

President

Phone

(815) 227-9949

Specialties & licenses 1

Addresses

Other names 1

• Premier Chiropractic Rockford Doing business as

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

{
    "created_epoch": "1248048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248048000000",
    "number": "1740410158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 N ALPINE RD",
            "address_2": "SUITE A",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611074980",
            "telephone_number": "815-975-8644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 N ALPINE RD",
            "address_2": "STE A",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611074980",
            "telephone_number": "815-227-9949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GABRYSHAK CHIROPRACTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-20",
        "last_updated": "2009-07-20",
        "status": "A",
        "authorized_official_last_name": "GABRYSHAK",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-227-9949",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C.,L.C.P."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038008484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Chiropractic Rockford",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paul David Fulling, MD
• Julie Pope Fulton, M.S., R.D., C.D.
• Michael John Fumo, M.D.
• Charis Furgat
• Paul Joseph Furigay, M.D.
• Peter James Gabryshak, D.C.
• Annie Gahl, PHARMD
• Frederick J Gahl, MD
• Harneet Gahley, M.D.
• Andrew G Gaiziunas, MD

• 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 Jul 20, 2009; 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.