Provider Demographics
NPI:1932875234
Name:KIRKLAND FAMILY CHIROPRACTIC CENTER LTD
Entity Type:Organization
Organization Name:KIRKLAND FAMILY CHIROPRACTIC CENTER LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTIC ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:ROSEMARY
Authorized Official - Middle Name:
Authorized Official - Last Name:BUCKLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:815-380-2180
Mailing Address - Street 1:229 1ST AVE STE 2
Mailing Address - Street 2:
Mailing Address - City:ROCK FALLS
Mailing Address - State:IL
Mailing Address - Zip Code:61071-5107
Mailing Address - Country:US
Mailing Address - Phone:815-380-2180
Mailing Address - Fax:
Practice Address - Street 1:229 1ST AVE STE 2
Practice Address - Street 2:
Practice Address - City:ROCK FALLS
Practice Address - State:IL
Practice Address - Zip Code:61071-5107
Practice Address - Country:US
Practice Address - Phone:815-380-2180
Practice Address - Fax:815-380-2182
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-18
Last Update Date:2021-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center