MEDICARE: DR. JUMPEI KAWAMATA 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	038009829	IL

General Provider Information

NPI Number	:	1740394659
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JUMPEI KAWAMATA D.C.

Provider Business Mailing Address
First Line	:	2010 S ARLINGTON HEIGHTS RD STE 101
Second Line	:
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60005-4100
Country	:	US
Telephone Number	:	847-956-3250
Fax Number	:	847-952-0606

Provider Business Practice Location Address
First Line	:	2010 S ARLINGTON HEIGHTS RD STE 101
Second Line	:
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60005-4100
Country	:	US
Telephone Number	:	847-956-3250
Fax Number	:	847-952-0606

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

Provider Enumeration Date	:	08/18/2006
Last Update Date	:	12/08/2015

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