Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRADLEY KEITH VIRGIN, D.C.,CCSP
Active Sole ProprietorDR. BRADLEY KEITH VIRGIN, D.C.,CCSP is a Sports Physician (Chiropractor) healthcare provider located in LITCHFIELD, Illinois. NPI 1871664219 is currently active in the NPPES registry. Verify at CMS.
Sports Physician (Chiropractor) · LITCHFIELD, IL
Registration Details
- NPI Number
- 1871664219
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 9, 2006 (19.804068565396 yrs)
- Last Updated
- Nov 9, 2007
- Sole Proprietor
- Yes
Practice Information
- Address
-
311 E UNION AVELITCHFIELD, IL, 620561519Browse IL providers · Browse ZIP 62056
- Phone
- 2173242377
- Fax
- 2173242377
- Primary Specialty
-
Sports Physician (Chiropractor)
111NS0005X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.