Provider Demographics
NPI:1245335116
Name:REHBERGER, JAMES L (DC)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:L
Last Name:REHBERGER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:JAMES
Other - Middle Name:L
Other - Last Name:REHBERGER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:1000 ZSCHOKKE ST
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND
Mailing Address - State:IL
Mailing Address - Zip Code:62249-1650
Mailing Address - Country:US
Mailing Address - Phone:618-654-4451
Mailing Address - Fax:618-654-5361
Practice Address - Street 1:1000 ZSCHOKKE ST
Practice Address - Street 2:
Practice Address - City:HIGHLAND
Practice Address - State:IL
Practice Address - Zip Code:62249-1650
Practice Address - Country:US
Practice Address - Phone:618-654-4451
Practice Address - Fax:618-654-5361
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-14
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL113434OtherHEALTHLINK
IL26999OtherGROUP HEALTH PLAN
IL4400416OtherUNITED HEALTHCARE
IL0006082006OtherBLUE CROSS BLUE SHIELD
IL4263134OtherAETNA
IL745007OtherFOCUS HEALTHCARE
IL4400416OtherUNITED HEALTHCARE
IL26999OtherGROUP HEALTH PLAN
IL4263134OtherAETNA