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NPI Code Detail

MEDICARE: MILRUD CHIROPRACTIC NATURAL CARE & REHAB, INC

MEDICARE: MILRUD CHIROPRACTIC NATURAL CARE & REHAB, INC
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
1111N00000XChiropractorIL
2207Q00000XFamily Medicine PhysicianIL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
101628297OTHERILBCBSIL
21248889OTHERILCIGNA

General Provider Information

NPI Number : 1164458642
Entity Type Code : Organization
Provider Name (Legal Business Name) : MILRUD CHIROPRACTIC NATURAL CARE & REHAB, INC
Provider Business Mailing Address
First Line : 1829 S CEDAR LAKE RD
Second Line :
City : ROUND LAKE
State : IL
Zip : 60073-5711
Country : US
Telephone Number : 847-740-9200
Fax Number : 847-740-9215
Provider Business Practice Location Address
First Line : 1829 S CEDAR LAKE RD
Second Line :
City : ROUND LAKE
State : IL
Zip : 60073-5711
Country : US
Telephone Number : 847-740-9200
Fax Number : 847-740-9215
Authorized Official
Title or Position : PRESIDENT
Name : DR. LINA MILRUD
Credential : D.C.
Telephone Number : 847-740-9200
Provider Enumeration Date : 06/25/2006
Last Update Date : 09/11/2025

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Directions to “MILRUD CHIROPRACTIC NATURAL CARE & REHAB, INC ” Practice Location

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