MEDICARE: RMJ PARTNERSHIP

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	7115575	OTHER	IL	BLUE CROSS GROUP NUMBER

General Provider Information

NPI Number	:	1932258712
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RMJ PARTNERSHIP

Provider Business Mailing Address
First Line	:	105 S LAFAYETTE ST
Second Line	:
City	:	BYRON
State	:	IL
Zip	:	61010-8970
Country	:	US
Telephone Number	:	815-234-3021
Fax Number	:	815-234-5580

Provider Business Practice Location Address
First Line	:	105 S LAFAYETTE ST
Second Line	:
City	:	BYRON
State	:	IL
Zip	:	61010-8970
Country	:	US
Telephone Number	:	815-234-3021
Fax Number	:	815-234-5580

Authorized Official
Title or Position	:	OWNER
Name	:	DR. MICHAEL J HULSEBUS
Credential	:	D.C.
Telephone Number	:	815-398-3434

Provider Enumeration Date	:	01/09/2007
Last Update Date	:	08/22/2020

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Directions to “RMJ PARTNERSHIP ” Practice Location

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