Provider Demographics
NPI:1770696932
Name:HARMEYER, ROBERT E (DC)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:E
Last Name:HARMEYER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:326 W 47TH ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60609-4501
Mailing Address - Country:US
Mailing Address - Phone:773-548-5231
Mailing Address - Fax:773-224-1102
Practice Address - Street 1:326 W 47TH ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60609-4501
Practice Address - Country:US
Practice Address - Phone:773-548-5231
Practice Address - Fax:773-224-1102
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1682448OtherBCBSI
T37190Medicare UPIN
212512Medicare ID - Type Unspecified