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Dr. Ivan Robert Bracic

Rehabilitation Chiropractor

1720 Grand Ave
Waukegan , Illinois 60085-3502

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Image

Dr. Ivan Robert Bracic

Rehabilitation Chiropractor

1720 Grand Ave
Waukegan , Illinois 60085-3502

(847) 625-0101

Write a Review Save Call

Dr. Ivan Robert Bracic

Rehabilitation Chiropractor

1720 Grand Ave
Waukegan , Illinois 60085-3502

(847) 625-0101 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Rehabilitation Chiropractor

Languages spoken

  • English

Location

1720 Grand Ave Waukegan , Illinois 60085-3502

First Address

  • Dr. Ivan Robert Bracic
  • 1720 Grand Ave
  • Waukegan, IL
  • Zip : 60085-3502
  • Fax : (847) 625-0101
  • Phone : (847) 625-0202

Second Address

  • Dr. Ivan Robert Bracic
  • 1720 Grand Ave
  • Waukegan, IL
  • Zip : 60085-3502
  • Fax : (847) 625-0101
  • Phone : (847) 625-0202

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FAQs


Where did Dr. Ivan Robert Bracic attend graduate school?

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Where did Dr. Ivan Robert Bracic do his residency?

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Where did Dr. Ivan Robert Bracic do his fellowship?

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Is Dr. Ivan Robert Bracic board certified?

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What type of doctor is Dr. Ivan Robert Bracic

Rehabilitation Chiropractor

In what state does Dr. Ivan Robert Bracic practice in?

Illinois

Where is Dr. Ivan Robert Bracic ’s practice located?

1720 Grand Ave , Waukegan, Illinois, 60085-3502

What is Dr. Ivan Robert Bracic ’s gender?

Male

Is Dr. Ivan Robert Bracic a sole practitioner?

No

Is Dr. Ivan Robert Bracic accepting new patients?

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What languages does Dr. Ivan Robert Bracic speak?

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Does Dr. Ivan Robert Bracic accept insurance?

Yes, Dr. Ivan Robert Bracic accepts insurance

Does Dr. Ivan Robert Bracic offers telemedicine?

Dr. Ivan Robert Bracic has not indicated if he offers telemedicine

What is Dr. Ivan Robert Bracic ’s professional license number?

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What is Dr. Ivan Robert Bracic ’s NPI number?

1114074168

Does Dr. Ivan Robert Bracic have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 111NR0400X Rehabilitation Chiropractor 038007449 IL

National Provider Identifier

NPI 1114074168
Provider Name Dr. Ivan Robert Bracic
First Address Waukegan, IL 60085-3502
Second Address Waukegan, IL 60085-3502
Gender M
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 04/01/2007
Last Update Date 08/08/2008

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
04932043 BLUE CROSS BLUE SHIELD IL (01) IL
U49645 (02) IL

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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