| Chicago Chiropractic Group Ltd | |
|
1361 Pheasant Trl, Hampshire, IL 60140-7413 | |
| (630) 346-3600 | |
| Not Available |
| Full Name | Chicago Chiropractic Group Ltd |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1361 Pheasant Trl, Hampshire, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295002152 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 038009968 (Illinois) | Primary |
| Provider Name | Thomas M Mitchell |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1336194679 PECOS PAC ID: 0446149645 Enrollment ID: I20040315000694 |
| Provider Name | Joseph J Baldino |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1417932419 PECOS PAC ID: 4587631767 Enrollment ID: I20040916000245 |
| Provider Name | Tammy L Baruth |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366554925 PECOS PAC ID: 6901845874 Enrollment ID: I20050429000330 |
| Provider Name | Rosen G Gavino |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174559058 PECOS PAC ID: 4587667365 Enrollment ID: I20060816000569 |
| Provider Name | Yvonne N Gagliano |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881653020 PECOS PAC ID: 0749264364 Enrollment ID: I20100517000190 |
| Mailing Address | Practice Location Address |
|---|---|
| Chicago Chiropractic Group Ltd 1361 Pheasant Trl, Hampshire, IL 60140-7413 Ph: () - | Chicago Chiropractic Group Ltd 1361 Pheasant Trl, Hampshire, IL 60140-7413 Ph: (630) 346-3600 |
Ryan T. Foster, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 184 S State St, Hampshire, IL 60140 Phone: 847-683-0077 Fax: 847-683-1022 | |
Comprehensive Family Health Center, Sc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 184 S State St, Hampshire, IL 60140 Phone: 847-683-0077 Fax: 847-683-1022 | |
Dr. Dominic Joseph Ranallo, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 184 S. State St., Hampshire, IL 60140 Phone: 847-683-0077 Fax: 847-683-1022 | |
Chiroplus Family Health & Wellness, Sc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 184 S State St, Hampshire, IL 60140 Phone: 847-683-0077 Fax: 847-683-1022 |