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DR. RAE MARIE BOUVIN D.C.
NPI 1891727145
Chiropractor in Chicago, IL

Active since July 07, 2006Accepts Medicare Assignment
2607 W LAWRENCE AVE, CHICAGO, IL 60625(773) 279-9344 Get Directions Write a Review

NPPES record last updated: March 22, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Rae Marie Bouvin D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RAE MARIE BOUVIN D.C. (NPI 1891727145) is an individual chiropractor in Chicago, Illinois, licensed in Illinois (038010698) and active in the NPI registry since July 2006. She maintains 2 additional practice locations and is a graduate of National College Of Chiropractic (2006).

NPPES Registry Identity

NPI1891727145
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameDR. RAE MARIE BOUVINCredential: D.C.
Location Address2607 W LAWRENCE AVEChicago, IL 60625-3495
Mailing Address2607 W Lawrence AveChicago, IL 60625-3495 · (773) 279-9344
Phone(773) 279-9344
Sole ProprietorNo
Medical School CMSNational College Of ChiropracticGraduated 2006
Enumeration DateJuly 7, 2006
Last NPPES UpdateMarch 22, 2019
✔ NPI 1891727145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in IL · 038010698
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
2607 W LAWRENCE AVE, Chicago, IL 60625
Open in Google Maps ↗

Secondary Practice Locations 2

Location 128070 ROUTE 176ISLAND LAKE, IL 60042-0120 · Phone (847) 487-1111
Location 22607 W Lawrence AveChicago, IL 60625-3495 · Phone (773) 279-9344

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Rae Marie Bouvin D.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1759534902
PECOS Enrollment IDI20240312001485

Medicare Billing Reassignment

Medicare enrollment records show Rae Bouvin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pro-Active Care Physical Medicine Sc
Same address
Chiropractor
2609 W LAWRENCE AVE
Chicago, IL 60625
  • Reassigned Medicare billing, Illinois enrollment
NPI 1356600712 (773) 279-9344

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rae Bouvin's NPI number?

The NPI number for Rae Bouvin is 1891727145. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is Rae Bouvin located?

Rae Bouvin practices at 2607 W Lawrence Ave, Chicago, IL 60625. The listed phone number is (773) 279-9344.

What is Rae Bouvin's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Rae Bouvin enrolled in Medicare?

Yes. Rae Bouvin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Rae Bouvin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rae Bouvin reassigns Medicare benefits to Pro-Active Care Physical Medicine Sc (Chicago, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Rae Bouvin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Rae Bouvin was last updated on March 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.