Mctavish, Robert D

Mctavish, Robert D is an individual health care provider with primary practice located at 1471 Ellinwood Ave , Des Plaines IL 60016-4565. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Mctavish, Robert D can be contacted via phone (847) 827-0200.

Contact Information

Primary practice address
1471 Ellinwood Ave Des Plaines IL 60016-4565
Phone: (847) 827-0200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X Illinois

Profile Details

NPI number 1710017090
LBN Legal business name Mctavish, Robert D
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2007
Last updated Jul 8th, 2007 - about 17 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 1710017090 NPPES
Illinois Other 01626742 BCBS

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