Individual
DR. MICHAEL REX PINCKNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
507 S LA GRANGE RD, LA GRANGE, IL 60525-6740
(708) 354-9599
(708) 354-9799
Mailing address
507 S LA GRANGE RD, LA GRANGE, IL 60525-6740
(708) 354-9599
(708) 354-9799
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4400474
UNITED HEALTH CARE
IL
01
—
4923193
BLUE CROSS BLUE SHIELD
IL
01
—
606504
ACN
IL
01
—
P00071845
RAILROAD MEDICARE
IL
Enumeration date
09/14/2006
Last updated
07/08/2007
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