Provider Demographics
NPI:1295009538
Name:GERLEMAN CENTER OF CHIROPRACTIC MEDICINE PC
Entity Type:Organization
Organization Name:GERLEMAN CENTER OF CHIROPRACTIC MEDICINE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WARREN
Authorized Official - Middle Name:RANDALL
Authorized Official - Last Name:GERLEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:847-381-3300
Mailing Address - Street 1:515 W OLD NORTHWEST HWY
Mailing Address - Street 2:
Mailing Address - City:BARRINGTON
Mailing Address - State:IL
Mailing Address - Zip Code:60010-6828
Mailing Address - Country:US
Mailing Address - Phone:847-381-3300
Mailing Address - Fax:847-381-3301
Practice Address - Street 1:515 W OLD NORTHWEST HWY
Practice Address - Street 2:
Practice Address - City:BARRINGTON
Practice Address - State:IL
Practice Address - Zip Code:60010-6828
Practice Address - Country:US
Practice Address - Phone:847-381-3300
Practice Address - Fax:847-381-3301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-05
Last Update Date:2012-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038006880111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty