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NPI Code Detail

MEDICARE: DR. DAVID SHIFMAN D.C.

MEDICARE:  DR. DAVID  SHIFMAN  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
1111N00000XChiropractor038007347IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1605784OTHERILAMERICAN CHIROPRACTIC NET
21622688OTHERILBCBS

General Provider Information

NPI Number : 1578633632
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID SHIFMAN D.C.
Provider Business Mailing Address
First Line : 8364 GRAND AVE
Second Line :
City : RIVER GROVE
State : IL
Zip : 60171-1435
Country : US
Telephone Number : 708-452-5686
Fax Number : 708-452-1648
Provider Business Practice Location Address
First Line : 8364 GRAND AVE
Second Line :
City : RIVER GROVE
State : IL
Zip : 60171-1435
Country : US
Telephone Number : 708-452-5686
Fax Number : 708-452-1648
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2006
Last Update Date : 07/08/2007

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Directions to “ DR. DAVID SHIFMAN D.C.” Practice Location

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