Healthcare Provider Details

I. General information

NPI: 1982767018
Provider Name (Legal Business Name): RMS DC PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4255 N LINCOLN AVE
CHICAGO IL
60618
US

IV. Provider business mailing address

4255 N LINCOLN AVE DR ROBERT STEVENS
CHICAGO IL
60614
US

V. Phone/Fax

Practice location:
  • Phone: 773-528-1500
  • Fax: 773-528-1919
Mailing address:
  • Phone: 773-528-1500
  • Fax: 773-528-1919

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number StateIL

VIII. Authorized Official

Name: DR. ROBERT MICHAEL STEVENS
Title or Position: PRESIDENT CEO
Credential: DC
Phone: 773-528-1500