Provider Demographics
NPI:1205947017
Name:ZARBUCK CHIROPRACTIC CLINIC GENERAL
Entity type:Organization
Organization Name:ZARBUCK CHIROPRACTIC CLINIC GENERAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GWAIN
Authorized Official - Middle Name:R
Authorized Official - Last Name:ZARBUCK
Authorized Official - Suffix:II
Authorized Official - Credentials:DC
Authorized Official - Phone:217-328-3348
Mailing Address - Street 1:711 W SPRINGFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:URBANA
Mailing Address - State:IL
Mailing Address - Zip Code:61801-3110
Mailing Address - Country:US
Mailing Address - Phone:217-328-3348
Mailing Address - Fax:217-383-1003
Practice Address - Street 1:711 W SPRINGFIELD AVE
Practice Address - Street 2:
Practice Address - City:URBANA
Practice Address - State:IL
Practice Address - Zip Code:61801-3110
Practice Address - Country:US
Practice Address - Phone:217-328-3348
Practice Address - Fax:217-383-1003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2007-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty