MEDICARE: AGNIESZKA RABRICH D.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
1	111N00000X	Chiropractor	038012721	IL

General Provider Information

NPI Number	:	1407253909
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AGNIESZKA RABRICH D.C.

Provider Business Mailing Address
First Line	:	2625 BUTTERFIELD RD STE 301N
Second Line	:
City	:	OAK BROOK
State	:	IL
Zip	:	60523-1266
Country	:	US
Telephone Number	:	630-468-1824
Fax Number	:

Provider Business Practice Location Address
First Line	:	8240 WOLF RD
Second Line	:
City	:	WILLOW SPRINGS
State	:	IL
Zip	:	60480-1084
Country	:	US
Telephone Number	:	708-457-8000
Fax Number	:

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

Provider Enumeration Date	:	11/26/2014
Last Update Date	:	06/02/2017

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