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NPI Code Detail

MEDICARE: SCOTT CRUSE DC PC

MEDICARE: SCOTT CRUSE DC PC
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
1111N00000XChiropractor038011574IL

General Provider Information

NPI Number : 1487051645
Entity Type Code : Organization
Provider Name (Legal Business Name) : SCOTT CRUSE DC PC
Provider Business Mailing Address
First Line : 1400 W NORTHWEST HWY
Second Line : BUEHLER YMCA
City : PALATINE
State : IL
Zip : 60067-1837
Country : US
Telephone Number : 847-496-4567
Fax Number : 312-419-9315
Provider Business Practice Location Address
First Line : 1400 W NORTHWEST HWY
Second Line : BUEHLER YMCA
City : PALATINE
State : IL
Zip : 60067-1837
Country : US
Telephone Number : 847-496-4567
Fax Number : 312-419-9315
Authorized Official
Title or Position : CLINIC DIRECTOR
Name : SCOTT M CRUSE
Credential : DC
Telephone Number : 847-496-4567
Provider Enumeration Date : 12/03/2014
Last Update Date : 12/03/2014

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