Provider Demographics
NPI:1730849910
Name:KREFMAN CHIROPRACTIC AND REHABILITATION, LLC
Entity type:Organization
Organization Name:KREFMAN CHIROPRACTIC AND REHABILITATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:KREFMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:224-628-9732
Mailing Address - Street 1:2551 COMPASS RD STE 110
Mailing Address - Street 2:
Mailing Address - City:GLENVIEW
Mailing Address - State:IL
Mailing Address - Zip Code:60026-8042
Mailing Address - Country:US
Mailing Address - Phone:224-329-0097
Mailing Address - Fax:
Practice Address - Street 1:2551 COMPASS RD STE 110
Practice Address - Street 2:
Practice Address - City:GLENVIEW
Practice Address - State:IL
Practice Address - Zip Code:60026-8042
Practice Address - Country:US
Practice Address - Phone:224-329-0097
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-29
Last Update Date:2021-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty