Dr Arnold Mark Koldenhoven Jr, DC | |
7501 Lemont Rd Ste 345, Woodridge, IL 60517-2680 | |
(630) 910-1002 | |
Not Available |
Full Name | Dr Arnold Mark Koldenhoven Jr |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 18 Years |
Location | 7501 Lemont Rd Ste 345, Woodridge, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851444582 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 038010860 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Kooistra Chiropractic Clinic Pllc | 0042472672 | 3 |
Provider Name | Kooistra Chiropractic Clinic Pllc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1396018446 PECOS PAC ID: 0042472672 Enrollment ID: O20120427000138 |
Mailing Address | Practice Location Address |
---|---|
Dr Arnold Mark Koldenhoven Jr, DC 7501 Lemont Rd Ste 345, Woodridge, IL 60517-2680 Ph: (630) 910-1002 | Dr Arnold Mark Koldenhoven Jr, DC 7501 Lemont Rd Ste 345, Woodridge, IL 60517-2680 Ph: (630) 910-1002 |
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