Provider Demographics
NPI:1619267846
Name:BREWER, KURT K (DC)
Entity type:Individual
Prefix:DR
First Name:KURT
Middle Name:K
Last Name:BREWER
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 1:246 E JANATA BLVD STE 210
Mailing Address - Street 2:
Mailing Address - City:LOMBARD
Mailing Address - State:IL
Mailing Address - Zip Code:60148-5378
Mailing Address - Country:US
Mailing Address - Phone:331-214-8898
Mailing Address - Fax:
Practice Address - Street 1:246 E JANATA BLVD STE 210
Practice Address - Street 2:
Practice Address - City:LOMBARD
Practice Address - State:IL
Practice Address - Zip Code:60148-5378
Practice Address - Country:US
Practice Address - Phone:331-214-8898
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-08
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038.011758111N00000X
IL038011758111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor