MEDICARE: JOHN P REMPEL DC

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	08001843A	IN

General Provider Information

NPI Number	:	1376527853
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN P REMPEL DC

Provider Business Mailing Address
First Line	:	PO BOX 74008519 #1305
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60674-8519
Country	:	US
Telephone Number	:	630-468-1824
Fax Number	:	630-468-1836

Provider Business Practice Location Address
First Line	:	11685 FOX RD
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46236-8423
Country	:	US
Telephone Number	:	317-823-5800
Fax Number	:	317-823-5802

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/30/2005
Last Update Date	:	11/03/2020

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