Ivan Robert Bracic D.C.

NPI 1114074168 - Chiropractor - 111NR0400X

NPI Details
NPI 1114074168
Gender Male
Enumeration Date 01/04/2007
Last Updated 08/08/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
1720 GRAND AVE
WAUKEGAN IL, 60085-3502, US
Phone (847) 625-0202
Fax (847) 625-0101
Business Location
1720 GRAND AVE
WAUKEGAN IL, 60085-3502, US
Phone (847) 625-0202
Fax (847) 625-0101
Toxanomy
Taxonomy Code 111NR0400X
License State Illinois
License Number 038007449
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According to our database, Dr. Ivan Robert Bracic D.C. NPI is 1114074168, taxonomy code is 111NR0400X and license number is 038007449, license state is located at Illinois. Ivan Robert Bracic D.C. physically located at 1720 Grand Ave, Waukegan IL, 60085-3502. NPI Number Ivan Robert Bracic D.C. has the Individual type.

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1114074168 NPI number is provided on an as is basis without warranty of any kind. 1114074168 is maintained by the National Plan & Provider Enumeration System. The contents of Ivan Robert Bracic D.C. are for informational purposes only.