Chiro One Wellness Center Of O'fallon Illinois Llc | |
1411 W Highway 50 Ste 103, O Fallon, IL 62269-1618 | |
(630) 468-1824 | |
Not Available |
Full Name | Chiro One Wellness Center Of O'fallon Illinois Llc |
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Type | Facility |
Speciality | Chiropractor |
Location | 1411 W Highway 50 Ste 103, 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 |
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1477014553 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Kristen Katich Sweat |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1376284778 PECOS PAC ID: 7315324647 Enrollment ID: I20220506001080 |
Mailing Address | Practice Location Address |
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Chiro One Wellness Center Of O'fallon Illinois Llc 2625 Butterfield Rd Ste 301n, Oak Brook, IL 60523-1266 Ph: (630) 468-1824 | Chiro One Wellness Center Of O'fallon Illinois Llc 1411 W Highway 50 Ste 103, O Fallon, IL 62269-1618 Ph: (630) 468-1824 |
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