Regenerative Neuropathy Of Ofallon | |
1480 N Green Mount Rd, O Fallon, IL 62269-3466 | |
(618) 622-2222 | |
(618) 624-8357 |
Full Name | Regenerative Neuropathy Of Ofallon |
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Type | Facility |
Speciality | Chiropractor |
Location | 1480 N Green Mount Rd, O Fallon, Illinois |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225061955 | NPI | - | NPPES |
1215964143 | Other | IL | INDIVIDUAL NPI |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 038-010438 (Illinois) | Primary |
Provider Name | Chad B Weber |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1487832952 PECOS PAC ID: 6204996077 Enrollment ID: I20081124000499 |
Mailing Address | Practice Location Address |
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Regenerative Neuropathy Of Ofallon 1480 N Green Mount Rd Ste 300, O Fallon, IL 62269-3466 Ph: (618) 622-2222 | Regenerative Neuropathy Of Ofallon 1480 N Green Mount Rd, O Fallon, IL 62269-3466 Ph: (618) 622-2222 |
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