Benjamin Miles, DC | |
5401 N Knoxville Ave, Ste 104, Peoria, IL 61614-5098 | |
(309) 692-0123 | |
(309) 692-0184 |
Full Name | Benjamin Miles |
---|---|
Gender | Male |
Speciality | Chiropractor |
Location | 5401 N Knoxville Ave, Peoria, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609160654 | NPI | - | NPPES |
038-011932 | Other | IL | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 038-011932 (Illinois) | Primary |
Provider Name | Realhealth Advanced Care Sc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1710371935 PECOS PAC ID: 5890016836 Enrollment ID: O20150603000968 |
Mailing Address | Practice Location Address |
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Benjamin Miles, DC 5401 N Knoxville Ave, Ste 104, Peoria, IL 61614-5098 Ph: (309) 692-0123 | Benjamin Miles, DC 5401 N Knoxville Ave, Ste 104, Peoria, IL 61614-5098 Ph: (309) 692-0123 |
T Chiropractic, Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 7800 N Sommer St, Ste 203, Peoria, IL 61615 Phone: 309-691-9767 Fax: 309-691-9457 | |
Cotton Chiropractic, Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 901 W Glen Ave, Suite A, Peoria, IL 61614 Phone: 309-693-1212 Fax: 309-693-2147 | |
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Mccavitt Chiropractic Center, P.c. Chiropractor Medicare: Medicare Enrolled Practice Location: 3711 N Sheridan Rd, Peoria, IL 61614 Phone: 309-688-2271 Fax: 309-688-0920 | |
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Dr. Matthew Ryan Howard, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 5901 N Prospect Rd, Suite 101, Peoria, IL 61614 Phone: 309-691-9355 Fax: 309-691-9357 |