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NPI 1164458642

NPI 1164458642 : MILRUD CHIROPRACTIC NATURAL CARE & REHAB, INC : ROUND LAKE, IL

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General NPI Number Information
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    NPI Number           |    1164458642
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    Entity Type          |    Organization 
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    Legal Business Name  |    MILRUD CHIROPRACTIC NATURAL CARE & REHAB, INC 
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Dates
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    Enumeration Date     |    06/25/2006
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    1829 S CEDAR LAKE RD 
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    City                 |    ROUND LAKE
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    State                |    IL
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    Zip                  |    60073-5711
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    Country              |    US
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    Telephone            |    847-740-9200
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    Fax                  |    847-740-9215
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Provider Business Mailing Address
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    Address Line         |    1829 S CEDAR LAKE RD 
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    City                 |    ROUND LAKE
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    State                |    IL
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    Zip                  |    60073-5711
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    Country              |    US
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    Telephone            |    847-740-9200
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    Fax                  |    847-740-9215
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. LINA  MILRUD 
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    Credential           |    D.C.
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    Telephone            |    847-740-9200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    
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    License Number State |    IL
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Taxonomy #2
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    
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    License Number State |    IL
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