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NPI 1932388519ActiveOrganization· General Practice· Loves Park, IL

General Practice in Loves Park, Illinois, registered in NPPES in October 2007. The authorized official on file is Gary David Broom, President.

Overview

NPI1932388519
StatusActive
Entity typeOrganization
NPI issuedOct 30, 2007
Last updated in NPPESMar 31, 2009

Specialties and licenses

TaxonomyCodeLicenseState
General Practice Primary208D00000X042619163IL
Chiropractor111N00000X042619163IL
Chiropractor, Sports Physician111NS0005X042619163IL

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other general practitioners in Loves Park

All general practitioners in Illinois