Craig Spine And Sport, Llc | |
330 S Main St, Suite E, Morton, IL 61550-1976 | |
(309) 360-2137 | |
Not Available |
Full Name | Craig Spine And Sport, Llc |
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Type | Facility |
Speciality | Chiropractor - Rehabilitation |
Location | 330 S Main St, Morton, 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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1205231131 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111NR0400X | Chiropractor - Rehabilitation | 038011215 (Illinois) | Primary |
Provider Name | Matthew C Craig |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1942465836 PECOS PAC ID: 5496820318 Enrollment ID: I20080812000498 |
Mailing Address | Practice Location Address |
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Craig Spine And Sport, Llc 330 S Main St, Suite E, Morton, IL 61550-1976 Ph: (309) 360-2137 | Craig Spine And Sport, Llc 330 S Main St, Suite E, Morton, IL 61550-1976 Ph: (309) 360-2137 |
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