| Dr Robert Rutkowski, DC | |
|
8528 W. Grand Avenue, River Grove, IL 60171-1437 | |
| (708) 456-6212 | |
| (708) 456-9201 |
| Full Name | Dr Robert Rutkowski |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 8528 W. Grand Avenue, River Grove, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588757447 | NPI | - | NPPES |
| 01682757 | Other | IL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 385828 (Illinois) | Secondary |
| 111N00000X | Chiropractor | 38-5828 (Illinois) | Primary |
| Provider Name | Robert Rutkowski Dcpc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1497025068 PECOS PAC ID: 0840459186 Enrollment ID: O20120306000952 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Robert Rutkowski, DC 8528 W. Grand Avenue, River Grove, IL 60171-1437 Ph: (708) 456-6212 | Dr Robert Rutkowski, DC 8528 W. Grand Avenue, River Grove, IL 60171-1437 Ph: (708) 456-6212 |
Robert Rutkowski Dcpc Chiropractor Medicare: Medicare Enrolled Practice Location: 8528 Grand Ave, River Grove, IL 60171 Phone: 708-456-6212 Fax: 708-456-9201 | |
Dr. David Shifman, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 8364 Grand Ave, River Grove, IL 60171 Phone: 708-452-5686 Fax: 708-452-1648 | |
Advanced Chiropractic Specialists P.c. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 8364 Grand Ave, River Grove, IL 60171 Phone: 708-452-5686 |