| 7th Street Chiropractic & Acupuncture Center, Pc | |
|
3135 7th St, Moline, IL 61265-5970 | |
| (309) 762-1431 | |
| (309) 762-2680 |
| Full Name | 7th Street Chiropractic & Acupuncture Center, Pc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 3135 7th St, Moline, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326249087 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 038-008542 (Illinois) | Primary |
| Provider Name | Evan P Antolik |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1568479137 PECOS PAC ID: 9032376744 Enrollment ID: I20120208000684 |
| Mailing Address | Practice Location Address |
|---|---|
| 7th Street Chiropractic & Acupuncture Center, Pc 3135 7th St, Moline, IL 61265-5970 Ph: (309) 762-1431 | 7th Street Chiropractic & Acupuncture Center, Pc 3135 7th St, Moline, IL 61265-5970 Ph: (309) 762-1431 |
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