| Body And Spine Clinic Llc | |
|
3037 Theodore St, Joliet, IL 60435-5191 | |
| (815) 582-0006 | |
| Not Available |
| Full Name | Body And Spine Clinic Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 3037 Theodore St, Joliet, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881938074 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 038011832 (Illinois) | Primary |
| Provider Name | Carissa Marie Baranoski |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1649572496 PECOS PAC ID: 8123339769 Enrollment ID: I20150625001784 |
| Mailing Address | Practice Location Address |
|---|---|
| Body And Spine Clinic Llc 3037 Theodore St, Joliet, IL 60435-5191 Ph: (815) 582-0006 | Body And Spine Clinic Llc 3037 Theodore St, Joliet, IL 60435-5191 Ph: (815) 582-0006 |
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