| Chiro One Wellness Center Metro Of Andersonville Llc | |
|
5623 N Clark St, Chicago, IL 60660-4108 | |
| (773) 754-3850 | |
| (773) 754-3853 |
| Full Name | Chiro One Wellness Center Metro Of Andersonville Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 5623 N Clark St, 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 |
|---|---|---|---|
| 1912297755 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Mark Sachse |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1780822189 PECOS PAC ID: 5496917726 Enrollment ID: I20120503000359 |
| Provider Name | Tammy Pham |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1154669091 PECOS PAC ID: 2961770839 Enrollment ID: I20170616002391 |
| Mailing Address | Practice Location Address |
|---|---|
| Chiro One Wellness Center Metro Of Andersonville Llc 2625 Butterfield Rd, Ste 301n, Oak Brook, IL 60523-1234 Ph: (630) 468-1824 | Chiro One Wellness Center Metro Of Andersonville Llc 5623 N Clark St, Chicago, IL 60660-4108 Ph: (773) 754-3850 |
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