Coleman Wellness Sc | |
129 Commercial Dr Unit 5b, Yorkville, IL 60560-4731 | |
(630) 553-7600 | |
Not Available |
Full Name | Coleman Wellness Sc |
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Type | Facility |
Speciality | Chiropractor |
Location | 129 Commercial Dr Unit 5b, Yorkville, 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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1629507819 | NPI | - | NPPES |
11895142 | Other | CAQH |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 038004818 (Illinois) | Primary |
111N00000X | Chiropractor | (* (Not Available)) | Secondary |
Provider Name | Bruce R Coleman |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1871698977 PECOS PAC ID: 7012005176 Enrollment ID: I20071127000085 |
Mailing Address | Practice Location Address |
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Coleman Wellness Sc Po Box 156, Yorkville, IL 60560-0156 Ph: (630) 553-7600 | Coleman Wellness Sc 129 Commercial Dr Unit 5b, Yorkville, IL 60560-4731 Ph: (630) 553-7600 |
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