| Chicago Spine And Sports, P.c. | |
|
922 W Diversey Pkwy, Chicago, IL 60614-1416 | |
| (773) 529-0057 | |
| (773) 529-0231 |
| Full Name | Chicago Spine And Sports, P.c. |
|---|---|
| Type | Facility |
| Speciality | Chiropractor - Orthopedic |
| Location | 922 W Diversey Pkwy, Chicago, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538469184 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111NX0800X | Chiropractor - Orthopedic | 038009427 (Illinois) | Primary |
| Provider Name | Douglas R Krebs |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1558487728 PECOS PAC ID: 4385831361 Enrollment ID: I20101203000686 |
| Provider Name | Douglas Krefman |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1609243310 PECOS PAC ID: 2668780362 Enrollment ID: I20150929003301 |
| Mailing Address | Practice Location Address |
|---|---|
| Chicago Spine And Sports, P.c. 922 W Diversey Pkwy, Chicago, IL 60614-1416 Ph: (773) 529-0057 | Chicago Spine And Sports, P.c. 922 W Diversey Pkwy, Chicago, IL 60614-1416 Ph: (773) 529-0057 |
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