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Quiram Spinal & Sports Rehabilitation Ltd

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.

physician-icon Basic Information

Practice Location 21108 N 25 East Road, Danvers, IL 61732-4497, US
Practice Location Phone309-662-6462
Practice Location Fax309-965-2384
Legal Business NameQUIRAM SPINAL & SPORTS REHABILITATION LTD
NPI ?1780760413
Entity TypeOrganization
Enumeration Date ? Oct 27, 2006
Last Update Date ? Aug 5, 2009
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Quiram Spinal & Sports Rehabilitation Ltd

SpecialtySpecializationLicenseLicense State
ChiropractorRehabilitation 042-617717Illinois

legacy-id-icon Legacy Provider IDs of Quiram Spinal & Sports Rehabilitation Ltd

Provider IdIssuer StateIssuer TypeIssuer
5732002IllinoisOtherBLUE CROSS BLUE SHIELD

official-icon Authorized Official of Quiram Spinal & Sports Rehabilitation Ltd

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/PositionOWNER/OPERATOR
Authorized Official Phone Number309-662-6462