| Bruce Rachum, D.c., Professional Corporation | |
|
6430 Cermak Rd, Berwyn, IL 60402-2310 | |
| (708) 749-0100 | |
| (708) 749-7497 |
| Full Name | Bruce Rachum, D.c., Professional Corporation |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 6430 Cermak Rd, Berwyn, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811218050 | NPI | - | NPPES |
| 038 007062 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 038 007062 (Illinois) | Primary |
| Provider Name | Bruce Rachum |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1700943321 PECOS PAC ID: 7719944586 Enrollment ID: I20041213001023 |
| Mailing Address | Practice Location Address |
|---|---|
| Bruce Rachum, D.c., Professional Corporation 6430 Cermak Rd, Berwyn, IL 60402-2310 Ph: (708) 749-0100 | Bruce Rachum, D.c., Professional Corporation 6430 Cermak Rd, Berwyn, IL 60402-2310 Ph: (708) 749-0100 |
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Alpha Rehab Center, Sc Chiropractor Medicare: Medicare Enrolled Practice Location: 3253 Harlem Ave, Suite 3, Berwyn, IL 60402 Phone: 708-317-5553 Fax: 708-788-4757 | |
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