Active Rehab Chiropractic Llc | |
4225 S State Route 159 Ste 2, Glen Carbon, IL 62034-3231 | |
(618) 641-3111 | |
Not Available |
Full Name | Active Rehab Chiropractic Llc |
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Type | Facility |
Speciality | Chiropractor |
Location | 4225 S State Route 159 Ste 2, Glen Carbon, Illinois |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1073291811 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Marshall Gevers |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1467152959 PECOS PAC ID: 6709249220 Enrollment ID: I20230831002274 |
Mailing Address | Practice Location Address |
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Active Rehab Chiropractic Llc 4225 S State Route 159 Ste 2, Glen Carbon, IL 62034-3231 Ph: (618) 641-3111 | Active Rehab Chiropractic Llc 4225 S State Route 159 Ste 2, Glen Carbon, IL 62034-3231 Ph: (618) 641-3111 |
Mrs. Nikole Lee Hunter, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 108 Magnolia Dr Ste A, Glen Carbon, IL 62034 Phone: 618-692-0000 Fax: 618-655-1550 | |
Superior Chiropractic & Rehab Chiropractor Medicare: Medicare Enrolled Practice Location: 9 Junction Dr W Ste 2, Glen Carbon, IL 62034 Phone: 618-844-1993 | |
Dr. Richard C Coy, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3407 S State Route 157, Ste 1, Glen Carbon, IL 62034 Phone: 618-288-3610 Fax: 618-288-9879 | |
Elise Marie Ellington, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 220 Evergreen Lane, Glen Carbon, IL 62034 Phone: 618-655-0333 | |
Dr. Andrew L. Morningstar, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 3733 S State Route 159, Glen Carbon, IL 62034 Phone: 618-288-8090 Fax: 618-288-4422 | |
Dr. Connor Joseph Bradley, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 3733 S State Route 159, Glen Carbon, IL 62034 Phone: 618-288-8090 |