Bracic, Ivan Robert

Bracic, Ivan Robert is an sole proprietor health care provider with primary practice located at 1720 Grand Ave , Waukegan IL 60085-3502. He recently has only one registered license in Chiropractic Providers / Rehabilitation, which is considered as his primary health care specialty. Bracic, Ivan Robert can be contacted via phone (847) 625-0202.

Contact Information

Primary practice address
1720 Grand Ave Waukegan IL 60085-3502
Phone: (847) 625-0202
Fax: (847) 625-0101
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Rehabilitation 111NR0400X 038007449 Illinois

Profile Details

NPI number 1114074168
LBN Legal business name Bracic, Ivan Robert
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 4th, 2007
Last updated Aug 8th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114074168 NPPES
Illinois Other 04932043 BLUE CROSS BLUE SHIELD IL

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