MEDICARE: BRIGHT SUN HEALTH CARE, INC

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	111NI0013X	Independent Medical Examiner Chiropractor	038009949	IL

General Provider Information

NPI Number	:	1891964375
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRIGHT SUN HEALTH CARE, INC

Provider Business Mailing Address
First Line	:	1604 SIBLEY BLVD
Second Line	:
City	:	CALUMET CITY
State	:	IL
Zip	:	60409-2231
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1604 SIBLEY BLVD
Second Line	:
City	:	CALUMET CITY
State	:	IL
Zip	:	60409-2231
Country	:	US
Telephone Number	:	708-891-2006
Fax Number	:

Authorized Official
Title or Position	:	DOCTOR
Name	:	DR. SHAMSU RAHEEM
Credential	:	D.C.
Telephone Number	:	708-891-2006

Provider Enumeration Date	:	02/28/2008
Last Update Date	:	04/23/2008

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Directions to “BRIGHT SUN HEALTH CARE, INC ” Practice Location

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