MEDICARE: R & J HEALTHCARE, LTD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist
2	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1205903788
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	R & J HEALTHCARE, LTD

Provider Business Mailing Address
First Line	:	1307 W WASHINGTON ST
Second Line	:	SUITE 115
City	:	OREGON
State	:	IL
Zip	:	61061-1001
Country	:	US
Telephone Number	:	815-732-2826
Fax Number	:	815-732-7617

Provider Business Practice Location Address
First Line	:	1307 W WASHINGTON ST
Second Line	:	SUITE 115
City	:	OREGON
State	:	IL
Zip	:	61061-1022
Country	:	US
Telephone Number	:	815-732-2826
Fax Number	:	815-732-7617

Authorized Official
Title or Position	:	DOCTOR OF CHIROPRACT
Name	:	DR. KRANE T CUPPLES
Credential	:	DC
Telephone Number	:	815-732-2826

Provider Enumeration Date	:	11/29/2006
Last Update Date	:	02/14/2013

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Directions to “R & J HEALTHCARE, LTD ” Practice Location

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