Ancient Healing Omc S.c. is a
Clinic/center based in Lake Forest, Illinois. Ancient Healing Omc S.c. is licensed to practice in Illinois (license number 198.000814) and their current practice location is
987 Oak Knoll Dr., Lake Forest, Illinois. It can be reached at their office (for appointments etc.) via phone at
(847) 735-9609.
NPI number for Ancient Healing Omc S.c. is 1306073747 and their current mailing address is 987 Oak Knoll Dr, Lake Forest, Illinois. Ancient Healing Omc S.c.
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1306073747.
Healthcare Provider's Profile
Full Name | Ancient Healing Omc S.c. |
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Type | Facility |
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Speciality | Clinic/center |
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Location | 987 Oak Knoll Dr., Lake Forest, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1306073747
- Provider Enumeration Date: 06/11/2009
- Last Update Date: 01/25/2011
Medical Identifiers
Medical identifiers for Ancient Healing Omc S.c. such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1306073747 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | 03801172 (Illinois) | Secondary |
261Q00000X | Clinic/center | 198000814 (Illinois) | Secondary |
261Q00000X | Clinic/center | 198.000814 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ancient Healing Omc S.c. is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ancient Healing Omc S.c. 987 Oak Knoll Dr, Lake Forest, IL 60045-2635 Ph: (847) 735-9609 | Ancient Healing Omc S.c. 987 Oak Knoll Dr., Lake Forest, IL 60045-2635 Ph: (847) 735-9609 |
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