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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