Dr. Michael Rex Pinckney
Chiropractic Sports Physician
507 S La Grange Rd
La Grange
, Illinois 60525-6740
Dr. Michael Rex Pinckney
Chiropractic Sports Physician
507 S La Grange Rd
La Grange
, Illinois 60525-6740
(708) 354-9799
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About
Features
Specialties
- Chiropractic Sports Physician
Languages spoken
- English
Location
First Address
- Dr. Michael Rex Pinckney
- 507 S La Grange Rd
- La Grange, IL
- Zip : 60525-6740
- Fax : (708) 354-9799
- Phone : (708) 354-9599
Second Address
- Dr. Michael Rex Pinckney
- 507 S La Grange Rd
- La Grange, IL
- Zip : 60525-6740
- Fax : (708) 354-9799
- Phone : (708) 354-9599
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NS0005X | Chiropractic Sports Physician | IL |
National Provider Identifier
| NPI | 1093810939 |
|---|---|
| Provider Name | Dr. Michael Rex Pinckney |
| First Address | La Grange, IL 60525-6740 |
| Second Address | La Grange, IL 60525-6740 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/09/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 4400474 | UNITED HEALTH CARE (01) | IL |
| 4923193 | BLUE CROSS BLUE SHIELD (01) | IL |
| 593430 | (02) | IL |
| 606504 | ACN (01) | IL |
| P00071845 | RAILROAD MEDICARE (01) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
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?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.