MEDICARE: HASCHEMEYER LLC

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	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1144749938
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HASCHEMEYER LLC

Provider Business Mailing Address
First Line	:	303 W VANDALIA RD
Second Line	:
City	:	SOUTH JACKSONVILLE
State	:	IL
Zip	:	62650-3200
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1429 S MAIN ST
Second Line	:
City	:	SOUTH JACKSONVILLE
State	:	IL
Zip	:	62650-3476
Country	:	US
Telephone Number	:	217-245-9797
Fax Number	:

Authorized Official
Title or Position	:	CHIROPRACTOR
Name	:	DR. CHRISTOPHER BRUCE HASCHEMEYER
Credential	:	D.C.
Telephone Number	:	217-556-8217

Provider Enumeration Date	:	09/13/2017
Last Update Date	:	09/13/2017

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