Louis Thomas Distasio, LAC | |
716 S 2nd St., Springfield, IL 62704 | |
(217) 544-8118 | |
(217) 544-8008 |
Full Name | Louis Thomas Distasio |
---|---|
Gender | Male |
Speciality | Undefined Physician Type (specify) |
Experience | 46 Years |
Location | 716 S 2nd St., Springfield, Illinois |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629153085 | NPI | - | NPPES |
8482034 | Other | IL | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
171100000X | Acupuncturist | 198000025 (Illinois) | Primary |
Provider Name | Acupuncture & Chiropractic Center |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1336417724 PECOS PAC ID: 0547422230 Enrollment ID: O20120425000260 |
Mailing Address | Practice Location Address |
---|---|
Louis Thomas Distasio, LAC 716 S 2nd St., Springfield, IL 62704 Ph: (217) 544-8118 | Louis Thomas Distasio, LAC 716 S 2nd St., Springfield, IL 62704 Ph: (217) 544-8118 |
Dr. Na Zhai, PH.D., OMD Acupuncturist Medicare: Not Enrolled in Medicare Practice Location: 2309 W White Oaks Dr, Springfield, IL 62704 Phone: 217-698-6259 Fax: 217-698-6265 | |
Mr. Terry Frank, L.AC. Acupuncturist Medicare: Not Enrolled in Medicare Practice Location: 716 S 2nd St, Springfield, IL 62704 Phone: 217-544-8118 | |
Corry Meyers, L.AC Acupuncturist Medicare: Not Enrolled in Medicare Practice Location: 319 E Madison St Ste 1f, Springfield, IL 62701 Phone: 217-545-8000 | |
Central Illinois Acupuncture, Inc. Acupuncturist Medicare: Not Enrolled in Medicare Practice Location: 313 Astoria Rd, Springfield, IL 62704 Phone: 217-622-4845 |