Provider Demographics
NPI:1538566658
Name:GAUMER, ERIC E (DC)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:E
Last Name:GAUMER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MORRISON
Mailing Address - State:IL
Mailing Address - Zip Code:61270-2639
Mailing Address - Country:US
Mailing Address - Phone:815-772-8069
Mailing Address - Fax:815-772-9164
Practice Address - Street 1:3512 E LINCOLNWAY STE A
Practice Address - Street 2:
Practice Address - City:STERLING
Practice Address - State:IL
Practice Address - Zip Code:61081-7622
Practice Address - Country:US
Practice Address - Phone:815-632-3675
Practice Address - Fax:815-716-8441
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-04
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038012732111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor