OrganizationGillis Family Chiropractic Inc.ChiropractorChiropractic ProvidersPractice Address5675 Burlingame Ave., Suite A, Wyoming, MI 49509-9702(616) 538-2200PECOS EnrollmentBased on the most recent information from CMS, provider Gillis Family Chiropractic Inc. 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 3 days ago.Profile DetailsProvider ID1023312774Provider TypeOrganizationFull NameGillis Family Chiropractic Inc.SubpartNoEnumeration Date1/10/2011Last Updated11/10/2016Contact InformationPractice LocationPractice Address5675 Burlingame Ave., Suite A, Wyoming, MI 49509-9702Phone(616) 538-2200Fax(616) 301-0419Mailing LocationMailing Address5675 Burlingame Ave., Suite A, Wyoming, MI 49509Phone(616) 538-2200Fax(616) 301-0419Authorized OfficialNameGillis, Benjamin David (Owner)Phone(616) 538-2200Provider TaxonomiesCodeDescriptionLicenseCode111N00000XPrimaryDescriptionChiropractorChiropractic ProvidersLicense2301008777Michigan