Provider Demographics
NPI:1548448400
Name:CHIROMOTION, LLC
Entity type:Organization
Organization Name:CHIROMOTION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTIC PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:M
Authorized Official - Last Name:GRAMBLICKA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:414-235-4854
Mailing Address - Street 1:9848 W PRAIRIE GRASS WAY
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:WI
Mailing Address - Zip Code:53132-7201
Mailing Address - Country:US
Mailing Address - Phone:630-660-7044
Mailing Address - Fax:
Practice Address - Street 1:7701 W BARNARD AVE
Practice Address - Street 2:
Practice Address - City:GREENFIELD
Practice Address - State:WI
Practice Address - Zip Code:53220-4223
Practice Address - Country:US
Practice Address - Phone:630-660-7044
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-03
Last Update Date:2008-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4333-012261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service