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Organization
HAUSCH MEDICAL SERVICE CORPORATION
Active
Organization
HAUSCH MEDICAL SERVICE CORPORATION
Active
Other names
Midwest Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL WILLIAM HAUSCH DC (PRESIDENT OWNER)
(773) 585-5550
Entity
Organization
Contact information
Practice address
11001 S KEDZIE AVE, CHICAGO, IL 60655-2221
(773) 585-5550
(773) 585-1061
Mailing address
11001 S KEDZIE AVE, CHICAGO, IL 60655-2221
(773) 585-5550
(773) 585-1061
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038008058
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1623616
BLUE CROSS BLUE SHIELD OF
—
01
—
350049294
RAILROAD MEDICARE
—
01
—
4046624
CIGNA HEALTH CARE
—
01
—
7972161
AETNA HEALTH
—
Enumeration date
02/05/2007
Last updated
07/15/2013
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