Richard Moncebaiz in Cicero - Chiropractor

Richard Moncebaiz - NPI 1396841011

Richard Moncebaiz is a Chiropractor in Cicero, Illinois. Richard Moncebaiz practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Richard Moncebaiz is 1396841011. The last update date is 2007-07-08.

Richard Moncebaiz's current location address is 5623 W Cermak Rd, Cicero, Illinois. You can contact this provider via phone number 7088631001 and fax number 7088632649. The mailing address for Richard Moncebaiz is 5623 W Cermak Rd, Cicero, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Richard Moncebaiz
Address 5623 W Cermak Rd, Cicero, Illinois
Phone Number 7088631001
Fax Number 7088632649
Sole Proprietor Y
Credentials D.C.

NPI Number Detail

NPI Number 1396841011
Provider Enumeration Date 2006-09-16
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 5623 W Cermak Rd
City Cicero
State Illinois (IL)
Post Code 608042220
Phone Number 7088631001
Fax Number 7088632649

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No 038-006012
Definition:
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
168274734 IL BCBS

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FAQs about Richard Moncebaiz

What is the unique identifier code issued to Richard Moncebaiz by the Centers for Medicare & Medicaid Services (CMS)?

The Richard Moncebaiz has been assigned the NPI (National Provider Identifier) 1396841011. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Can you provide the Richard Moncebaiz's physical address?

The Richard Moncebaiz is physically located at 5623 W Cermak Rd, in the city of Cicero, IL, with the postal code 608042220.

What is Richard Moncebaiz's area of expertise and its corresponding taxonomy classification?

The Richard Moncebaiz's field of specialization is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services assign the 1396841011 to Richard Moncebaiz?

The Centers for Medicare & Medicaid Services assigned the 1396841011 to Richard Moncebaiz on 2006-09-16.

As of what date were the details pertaining to Richard Moncebaiz last refreshed?

The information related to the Richard Moncebaiz, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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