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1207 S Mattis Ave Ste 2, Champaign, IL 61821-4861 | |
| (217) 355-5922 | |
| (217) 355-5925 |
| Full Name | |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1207 S Mattis Ave Ste 2, Champaign, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316783178 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Kevin D Stachnik |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1720038128 PECOS PAC ID: 5799798054 Enrollment ID: I20060803000327 |
| Mailing Address | Practice Location Address |
|---|---|
1207 S Mattis Ave Ste 2, Champaign, IL 61821-4861 Ph: (217) 355-5922 | 1207 S Mattis Ave Ste 2, Champaign, IL 61821-4861 Ph: (217) 355-5922 |
Dr. Edward Soojin Chun, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1207 S Mattis Ave, Ste2, Champaign, IL 61821 Phone: 217-355-5922 Fax: 217-355-5925 | |
Julie A Lorence, Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1712 S. Duncan Road, Suite B, Champaign, IL 61822 Phone: 217-359-6625 Fax: 217-355-9771 | |
Dr. Matthew Brooks Butler, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 2911 Crossing Court, Suite 101, Champaign, IL 61822 Phone: 217-359-0550 Fax: 217-359-0808 | |
Dr. Tommy Keith Gossett, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 2009 Fox Drive, Champaign, IL 61820 Phone: 217-351-8040 Fax: 217-239-5983 | |
Pride Clinic, Sc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3105 Village Office Place, Champaign, IL 61822 Phone: 217-352-9108 | |
Dr. Kassie Jean Young, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 2911 Crossing Ct Suite 101, Champaign, IL 61822 Phone: 217-359-0550 Fax: 217-359-0808 | |
Daniel John Vanklingeren, Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1103 W Windsor Rd, Champaign, IL 61821 Phone: 217-954-0124 Fax: 217-954-0135 |