Dr. Thomas Michael Kovacik
Chiropractor
1128 Monroe Street
Galesburg
, Illinois 61401-2542
Dr. Thomas Michael Kovacik
Chiropractor
1128 Monroe Street
Galesburg
, Illinois 61401-2542
(309) 342-9147
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About
Features
Specialties
- Chiropractor
Languages spoken
- English
Location
First Address
- Dr. Thomas Michael Kovacik
- 1128 Monroe Street
- Galesburg, IL
- Zip : 61401-2542
- Fax : (309) 342-9147
- Phone : (309) 342-9147
Second Address
- Dr. Thomas Michael Kovacik
- 1128 Monroe Street
- Galesburg, IL
- Zip : 61401-2542
- Phone : (309) 342-9147
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | IL |
National Provider Identifier
| NPI | 1003928508 |
|---|---|
| Provider Name | Dr. Thomas Michael Kovacik |
| First Address | Galesburg, IL 61401-2542 |
| Second Address | Galesburg, IL 61401-2542 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/08/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 04832003 | BLUE CROSS BLUE SHIELD (01) | |
| T37230 | (02) |
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.