Provider Demographics
NPI:1407068547
Name:HEALTHCARE SPECIALISTS, LTD
Entity Type:Organization
Organization Name:HEALTHCARE SPECIALISTS, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RANDALL
Authorized Official - Middle Name:
Authorized Official - Last Name:KERTZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:847-823-7888
Mailing Address - Street 1:8034 N. MILWAUKEE
Mailing Address - Street 2:
Mailing Address - City:NILES
Mailing Address - State:IL
Mailing Address - Zip Code:60714-2802
Mailing Address - Country:US
Mailing Address - Phone:847-823-7888
Mailing Address - Fax:
Practice Address - Street 1:8034 N. MILWAUKEE
Practice Address - Street 2:
Practice Address - City:NILES
Practice Address - State:IL
Practice Address - Zip Code:60714-2802
Practice Address - Country:US
Practice Address - Phone:847-823-7888
Practice Address - Fax:847-823-8038
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL579400Medicare PIN