| Carlinville Chiropractic Clinic Ltd | |
|
295 North Broad, Carlinville, IL 62626-1301 | |
| (217) 854-8211 | |
| (217) 854-3636 |
| Full Name | Carlinville Chiropractic Clinic Ltd |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 295 North Broad, Carlinville, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174707939 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 37-11104570 (Illinois) | Primary |
| Provider Name | Mark W Wade |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1972553410 PECOS PAC ID: 2769565043 Enrollment ID: I20080208000568 |
| Mailing Address | Practice Location Address |
|---|---|
| Carlinville Chiropractic Clinic Ltd 295 North Broad, Carlinville, IL 62626 Ph: (217) 854-8211 | Carlinville Chiropractic Clinic Ltd 295 North Broad, Carlinville, IL 62626-1301 Ph: (217) 854-8211 |
Austin Hubbard, D.C Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 295 N Broad St, Carlinville, IL 62626 Phone: 217-854-8211 Fax: 217-854-3636 | |
Calloway Chiropractic Pc Chiropractor Medicare: Medicare Enrolled Practice Location: 228 N Chiles St, Carlinville, IL 62626 Phone: 217-854-3644 Fax: 217-854-7107 | |
Fenton Family Chiropractic Pc Chiropractor Medicare: Medicare Enrolled Practice Location: 490 West Side Square, Carlinville, IL 62626 Phone: 217-854-2557 Fax: 217-854-2558 | |
Fenton Family Chiropractic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 490 W Side Sq, Carlinville, IL 62626 Phone: 217-854-2557 Fax: 217-854-5255 | |
Stephen Matthew Fenton, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 490 W Side Sq, Carlinville, IL 62626 Phone: 217-854-2557 | |
Gayle M. Hebner, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 625 N Broad St, Carlinville, IL 62626 Phone: 217-854-8244 |