Active Family Chiropractic | |
1455 Merchant Dr, Algonquin, IL 60102-5917 | |
(847) 854-4545 | |
Not Available |
Full Name | Active Family Chiropractic |
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Type | Facility |
Speciality | Chiropractor |
Location | 1455 Merchant Dr, Algonquin, Illinois |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619095866 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (Illinois) | Primary |
Provider Name | Clifton Samuel Brereton |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1770629446 PECOS PAC ID: 9638115207 Enrollment ID: I20050706000686 |
Mailing Address | Practice Location Address |
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Active Family Chiropractic 1455 Merchant Dr, Algonquin, IL 60102-5917 Ph: (847) 854-4545 | Active Family Chiropractic 1455 Merchant Dr, Algonquin, IL 60102-5917 Ph: (847) 854-4545 |
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