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NPI Code Detail

MEDICARE: IDEAL FAMILY HEALTH CENTER P.C.

MEDICARE: IDEAL FAMILY HEALTH CENTER P.C.
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
1171100000XAcupuncturist1457633042IL
2111N00000XChiropractor038009272IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
101632781OTHERILBCBS

General Provider Information

NPI Number : 1396966362
Entity Type Code : Organization
Provider Name (Legal Business Name) : IDEAL FAMILY HEALTH CENTER P.C.
Provider Business Mailing Address
First Line : 2010 S ARLINGTON HEIGHTS RD STE 110
Second Line :
City : ARLINGTON HEIGHTS
State : IL
Zip : 60005-4100
Country : US
Telephone Number : 847-357-0636
Fax Number : 847-357-0637
Provider Business Practice Location Address
First Line : 2010 S ARLINGTON HEIGHTS RD STE 110
Second Line :
City : ARLINGTON HEIGHTS
State : IL
Zip : 60005-4100
Country : US
Telephone Number : 847-357-0636
Fax Number : 847-357-0637
Authorized Official
Title or Position : PRESIDENT
Name : MRS. CHANG RUNG HAN
Credential : D.C.
Telephone Number : 847-357-0636
Provider Enumeration Date : 05/01/2007
Last Update Date : 11/17/2025

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Directions to “IDEAL FAMILY HEALTH CENTER P.C. ” Practice Location

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