Dr. Robert Glen Kellermann
Chiropractic Sports Physician
715 Ela Rd Suite 2a
Lake Zurich
, Illinois 60047-6300
Dr. Robert Glen Kellermann
Chiropractic Sports Physician
715 Ela Rd Suite 2a
Lake Zurich
, Illinois 60047-6300
(847) 540-7228
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About
Features
Specialties
- Chiropractic Sports Physician
Languages spoken
- English
Location
First Address
- Dr. Robert Glen Kellermann
- 715 Ela Rd Suite 2a
- Lake Zurich, IL
- Zip : 60047-6300
- Phone : (847) 540-7228
Second Address
- Dr. Robert Glen Kellermann
- 715 Ela Rd Suite 2a
- Lake Zurich, IL
- Zip : 60047-6300
- Phone : (847) 540-7228
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NS0005X | Chiropractic Sports Physician | 038-010730 | IL |
National Provider Identifier
| NPI | 1033217328 |
|---|---|
| Provider Name | Dr. Robert Glen Kellermann |
| First Address | Lake Zurich, IL 60047-6300 |
| Second Address | Lake Zurich, IL 60047-6300 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/09/2006 |
| Last Update Date | 10/09/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.