# EICKERT PHYSICAL MEDICINE LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497093504
- **Authorized official:** DR. JOHN EICKERT D.C. (OWNER)
- **Authorized official phone:** (563) 212-3215

## Contact information

- **Practice address:** 2260 W HIGGINS RD, HOFFMAN ESTATES, IL 60169-2431
- **Practice address phone:** (563) 212-3215
- **Mailing address:** 1404 WASHINGTON ST, LAKE IN THE HILLS, IL 60156-1046

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 038011653 | IL | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | 038011653 | IL | Yes |

## Other

- **Enumeration date:** 01/24/2013
- **Last updated:** 08/05/2013