MEDICARE: CHRISTINE TROFIMCHUCK 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	038012463	IL

General Provider Information

NPI Number	:	1841638301
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINE TROFIMCHUCK D.C.

Provider Business Mailing Address
First Line	:	495 E 1ST ST
Second Line	:
City	:	COAL CITY
State	:	IL
Zip	:	60416-1633
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	495 E 1ST ST
Second Line	:
City	:	COAL CITY
State	:	IL
Zip	:	60416-1633
Country	:	US
Telephone Number	:	815-634-3750
Fax Number	:	815-634-3766

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

Provider Enumeration Date	:	06/06/2013
Last Update Date	:	06/06/2013

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Directions to “ CHRISTINE TROFIMCHUCK D.C.” Practice Location

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