Waukegan Medical and Rehabilitation
NPI 1396892352ActiveOrganization· Chiropractor, Rehabilitation· Waukegan, IL
Chiropractor, Rehabilitation in Waukegan, Illinois, registered in NPPES in January 2007. The authorized official on file is Ivan Bracic, D.C., President-Owner.
Overview
| NPI | 1396892352 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 4, 2007 |
| Last updated in NPPES | Jan 19, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor, Rehabilitation Primary | 111NR0400X | 038007449 | IL |
| Physical Therapy Assistant | 225200000X | 160-004131 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Chiropractor, Rehabilitation providers in Waukegan
- 1114074168