| Chad Gillis, DC | |
|
1905 Latham Ave, Lima, OH 45805-1637 | |
| (419) 228-0000 | |
| Not Available |
| Full Name | Chad Gillis |
|---|---|
| Gender | Male |
| Speciality | Chiropractic |
| Experience | 4 Years |
| Location | 1905 Latham Ave, Lima, Ohio |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114530995 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | DC-04989 (Ohio) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Family Chiropractic Care Center, Inc | 8729012190 | 2 |
| Provider Name | Family Chiropractic Care Center, Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1750338463 PECOS PAC ID: 8729012190 Enrollment ID: O20050924000275 |
| Mailing Address | Practice Location Address |
|---|---|
| Chad Gillis, DC 1905 Latham Ave, Lima, OH 45805-1637 Ph: (419) 228-0000 | Chad Gillis, DC 1905 Latham Ave, Lima, OH 45805-1637 Ph: (419) 228-0000 |
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