Provider Demographics
NPI:1952589855
Name:JAVUREK CHIROPRACTIC OF BELVIDERE
Entity Type:Organization
Organization Name:JAVUREK CHIROPRACTIC OF BELVIDERE
Other - Org Name:JAVUREK CHIROPRACTIC CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GABRIEL
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:JAVUREK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:815-544-9298
Mailing Address - Street 1:1800 LOGAN AVE
Mailing Address - Street 2:
Mailing Address - City:BELVIDERE
Mailing Address - State:IL
Mailing Address - Zip Code:61008-6412
Mailing Address - Country:US
Mailing Address - Phone:815-544-9298
Mailing Address - Fax:815-547-3416
Practice Address - Street 1:1800 LOGAN AVE
Practice Address - Street 2:
Practice Address - City:BELVIDERE
Practice Address - State:IL
Practice Address - Zip Code:61008-6412
Practice Address - Country:US
Practice Address - Phone:815-544-9298
Practice Address - Fax:815-547-3416
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-04
Last Update Date:2008-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty