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BRUCE RACHUM D.C. PROFESSIONAL CORPORATION NPI 1811218050


NPI Information

NPI: 1811218050
Provider Name: BRUCE RACHUM, D.C., PROFESSIONAL CORPORATION
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
6430 CERMAK RD
BERWYN, IL
ZIP 60402
Phone: (708) 749-0100
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BRUCE RACHUM, D.C., PROFESSIONAL CORPORATION is a chiropractor in Berwyn, IL. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. BRUCE RACHUM, D.C., PROFESSIONAL CORPORATION NPI is 1811218050. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6430 CERMAK RD
BERWYN, IL
ZIP 60402-310
Phone: (708) 749-0100
Fax: (708) 749-7497

The provider's authorized official is Bruce Rachum .
The authorized official title is Practice Owner and has the following contact phone number (708) 749-0100.

The enumeration date for this NPI number is 6/22/2010 and was last updated on 6/22/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor038 007062ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1038 007062MEDICAIDILLINOIS
2200147MEDICARE UPINILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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