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General NPI Number Information
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NPI Number | 1972806842
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Entity Type | Organization
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Legal Business Name | BROTSCHUL HEALTH CARE, S.C.
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Dates
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Enumeration Date | 12/14/2010
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Last Update Date | 12/14/2010
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Provider Practice Location Address
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Address Line | 10209 W LINCOLN HWY
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City | FRANKFORT
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State | IL
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Zip | 60423-1279
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Country | US
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Telephone | 815-464-8739
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Fax |
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Provider Business Mailing Address
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Address Line | 10209 W LINCOLN HWY
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City | FRANKFORT
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State | IL
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Zip | 60423-1279
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DANIEL JASON BROTSCHUL
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Credential | D.C.
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Telephone | 815-464-8739
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | 039-009979
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License Number State | IL
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