| Dr Blake William Randles, DC | |
|
1210 Washington St, Highland, IL 62249-1925 | |
| (618) 654-4520 | |
| (618) 654-1063 |
| Full Name | Dr Blake William Randles |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 1210 Washington St, Highland, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679886675 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 038.011709 (Illinois) | Primary |
| Provider Name | Alvarado Healthcare Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1326553835 PECOS PAC ID: 0749549772 Enrollment ID: O20180118002613 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Blake William Randles, DC 1210 Washington St, Highland, IL 62249-1925 Ph: (186) 544-5206 | Dr Blake William Randles, DC 1210 Washington St, Highland, IL 62249-1925 Ph: (618) 654-4520 |
Dr. Robert Erwin Engelmann, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 129 Verrazanno, Highland, IL 62249 Phone: 618-654-2083 | |
Kennedy Nicole Brauer, Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 208 Flax Dr Ste 200, Highland, IL 62249 Phone: 618-651-6310 | |
Dr. Brad P. Wilken, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1008 Walnut St, Highland, IL 62249 Phone: 618-654-3000 Fax: 618-654-1567 | |
Robert E Engelmann Dc Professional Corp Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 129 Verrazanno, Highland, IL 62249 Phone: 618-654-2083 | |
Mr. David Daryl Rehberger, Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 520 Suppiger Way, Highland, IL 62249 Phone: 618-654-8514 Fax: 618-654-8511 | |
Modern Health And Wellness Inc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1001 Main St, Highland, IL 62249 Phone: 618-507-9092 | |
Dr. James L Rehberger, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1000 Zschokke St, Highland, IL 62249 Phone: 618-654-4451 Fax: 618-654-5361 |