Healthcare Provider Details

I. General information

NPI: 1891964375
Provider Name (Legal Business Name): BRIGHT SUN HEALTH CARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2008
Last Update Date: 04/23/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1604 SIBLEY BLVD
CALUMET CITY IL
60409-2231
US

IV. Provider business mailing address

1604 SIBLEY BLVD
CALUMET CITY IL
60409-2231
US

V. Phone/Fax

Practice location:
  • Phone: 708-891-2006
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NI0013X
TaxonomyIndependent Medical Examiner Chiropractor
License Number038009949
License Number StateIL

VIII. Authorized Official

Name: DR. SHAMSU RAHEEM
Title or Position: DOCTOR
Credential: D.C.
Phone: 708-891-2006