Provider Demographics
NPI:1558033209
Name:SCHRAM CHIROPRACTIC LTD
Entity Type:Organization
Organization Name:SCHRAM CHIROPRACTIC LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:G
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:SCHRAM
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:815-275-7787
Mailing Address - Street 1:1009 LORAS DR
Mailing Address - Street 2:
Mailing Address - City:FREEPORT
Mailing Address - State:IL
Mailing Address - Zip Code:61032-6923
Mailing Address - Country:US
Mailing Address - Phone:815-233-1800
Mailing Address - Fax:
Practice Address - Street 1:1009 LORAS DR
Practice Address - Street 2:
Practice Address - City:FREEPORT
Practice Address - State:IL
Practice Address - Zip Code:61032-6923
Practice Address - Country:US
Practice Address - Phone:815-233-1800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-01
Last Update Date:2021-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty