Individual
MICHAEL WILLIAM HAUSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
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
IL
01
—
350049294
RAILROAD MEDICARE
IL
01
—
364356477
UNICARE
IL
01
—
4046624
CIGNA HEALTH CARE
IL
01
—
7972161
AETNA
IL
Enumeration date
10/12/2007
Last updated
07/15/2013
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