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NPI Code Detail

MEDICARE: DR. MICHAEL A. ALLGEIER JR. DC

MEDICARE:  DR. MICHAEL A. ALLGEIER JR. DC
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
1111N00000XChiropractor038-010754IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
101638618OTHERILBLUE CROSS BLUE SHIELD OF ILLINOIS

General Provider Information

NPI Number : 1346358629
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL A. ALLGEIER JR. DC
Provider Business Mailing Address
First Line : 47 W POLK ST
Second Line : SUITE G-1
City : CHICAGO
State : IL
Zip : 60605-2000
Country : US
Telephone Number : 312-519-8412
Fax Number : 312-922-5860
Provider Business Practice Location Address
First Line : 47 W POLK ST
Second Line : SUITE G-1
City : CHICAGO
State : IL
Zip : 60605-2000
Country : US
Telephone Number : 312-922-3011
Fax Number : 312-922-5860
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2006
Last Update Date : 07/06/2016

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