Quiram Spinal & Sports Rehabilitation Ltd is a health care provider in Danvers, IL. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location||21108 N 25 East Road, Danvers, IL 61732-4497, US|
|Practice Location Phone||309-662-6462|
|Practice Location Fax||309-965-2384|
|Legal Business Name||QUIRAM SPINAL & SPORTS REHABILITATION LTD|
|Enumeration Date ?||Oct 27, 2006|
|Last Update Date ?||Aug 5, 2009|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
|Specialty||Provider Type||Specialization||License||License State|
|Provider Id||Issuer State||Issuer Type||Issuer|
|5732002||Illinois||Other||BLUE CROSS BLUE SHIELD|
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Quiram Spinal & Sports Rehabilitation Ltd's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official||Dr. Leslie R Quiram (D.C.)|
|Authorized Official Title/Position||OWNER/OPERATOR|
|Authorized Official Phone Number||309-662-6462|