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NPI Code Detail

MEDICARE: RR MEDICAL MANAGEMENT

MEDICARE: RR MEDICAL MANAGEMENT
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
1111N00000XChiropractorIL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
101635686OTHERILBC/BS PROVIDER #

General Provider Information

NPI Number : 1740298140
Entity Type Code : Organization
Provider Name (Legal Business Name) : RR MEDICAL MANAGEMENT
Provider Business Mailing Address
First Line : 5908 S ARCHER AVE
Second Line :
City : CAROL STREAM
State : IL
Zip : 60122-0001
Country : US
Telephone Number : 773-767-3822
Fax Number : 776-767-3944
Provider Business Practice Location Address
First Line : 5908 S ARCHER AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60638-2803
Country : US
Telephone Number : 773-767-3822
Fax Number : 773-767-3944
Authorized Official
Title or Position : OWNER
Name : RANDY HARA
Credential : DC
Telephone Number : 773-735-0665
Provider Enumeration Date : 08/03/2006
Last Update Date : 08/22/2020

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Directions to “RR MEDICAL MANAGEMENT ” Practice Location

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