MEDICARE: TRUE HEALTH

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	038-007760	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0004932189	OTHER	IL	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1609998806
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRUE HEALTH

Provider Business Mailing Address
First Line	:	900 W IL ROUTE 22
Second Line	:	SUITE 160
City	:	LAKE ZURICH
State	:	IL
Zip	:	60047-3416
Country	:	US
Telephone Number	:	847-719-5800
Fax Number	:	847-847-1442

Provider Business Practice Location Address
First Line	:	900 W IL ROUTE 22
Second Line	:	SUITE 160
City	:	LAKE ZURICH
State	:	IL
Zip	:	60047-3416
Country	:	US
Telephone Number	:	847-719-5800
Fax Number	:	847-847-1442

Authorized Official
Title or Position	:	DOCTOR OWNER
Name	:	JENNIFER ROCKWOOD
Credential	:	D.C.
Telephone Number	:	847-719-5800

Provider Enumeration Date	:	04/06/2007
Last Update Date	:	10/12/2015

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Directions to “TRUE HEALTH ” Practice Location

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