Individual ProviderGary L NordbrockChiropractorChiropractic ProvidersPractice Address3019 183rd St, Homewood, IL 60430-2804(708) 799-6020PECOS EnrollmentBased on the most recent information from CMS, provider Gary L Nordbrock does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1124082763Provider TypeIndividualFull NameNordbrock, Gary LTitleDr.CredentialD.C.GenderMaleSole ProprietorYesEnumeration Date4/12/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address3019 183rd St, Homewood, IL 60430-2804Phone(708) 799-6020Fax(708) 799-4271Mailing LocationMailing Address3019 183rd St, Homewood, IL 60430-2804Phone(708) 799-6020Fax(708) 799-4271Provider TaxonomiesCodeDescriptionLicenseCode111N00000XPrimaryDescriptionChiropractorChiropractic ProvidersLicenseDC 3570Illinois