MEDICARE: DR. ALAN R. BARTHEN 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		IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	5682015	OTHER	IL	BCBS

General Provider Information

NPI Number	:	1730143504
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALAN R. BARTHEN D.C.

Provider Business Mailing Address
First Line	:	395 CARY ALGONQUIN RD
Second Line	:	SUITE C
City	:	CARY
State	:	IL
Zip	:	60013-2090
Country	:	US
Telephone Number	:	847-639-0010
Fax Number	:	847-639-9233

Provider Business Practice Location Address
First Line	:	395 CARY ALGONQUIN RD
Second Line	:	SUITE C
City	:	CARY
State	:	IL
Zip	:	60013-2090
Country	:	US
Telephone Number	:	847-639-0010
Fax Number	:	847-639-9233

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

Provider Enumeration Date	:	04/17/2006
Last Update Date	:	07/08/2007

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