Rae Marie Bouvin, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038010698 Issued in IL

Practice address

2607 W Lawrence Ave
Chicago, IL 60625-3495

Phone

(773) 279-9344

NPI assigned

Jul 7, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

National College of Chiropractic, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pro-Active Care Physical Medicine SC

  • Chiropractor
  • Chicago, IL
  • NPI 1356600712
  Medicare reassignment NPD Authorized official
• Lindsey Chiropractic Clinic PC

  • Chiropractor
  • Island Lake, IL
  • NPI 1255465522
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553212800000",
    "number": "1891727145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2607 W LAWRENCE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606253495",
            "telephone_number": "773-279-9344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2607 W LAWRENCE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606253495",
            "telephone_number": "773-279-9344"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28070 ROUTE 176",
            "address_purpose": "LOCATION",
            "city": "ISLAND LAKE",
            "state": "IL",
            "postal_code": "600420120",
            "country_code": "US",
            "telephone_number": "847-487-1111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2607 W Lawrence Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606253495",
            "country_code": "US",
            "telephone_number": "773-279-9344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOUVIN",
        "first_name": "RAE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2019-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038010698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Stephen Boutsicaris
• Alexandra Boutsikakis
• Harold Joseph Boutte Jr., M.D.
• Rachel Leah Boutte
• Maxime Bouvagnet, DMD
• Alisha Bouzaher, MD
• Davide Bova, MD
• Jodi Ann Bova, LCPC
• Joseph A Bova
• Emily Michele Bovasso, MD

• Chiropractor in Chicago, IL
• Providers in Chicago, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.