Dr Brooklyn Washington, DC | |
16w343 83rd St Ste D, Burr Ridge, IL 60527-7950 | |
(630) 908-7634 | |
Not Available |
Full Name | Dr Brooklyn Washington |
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Gender | Female |
Speciality | Chiropractor |
Location | 16w343 83rd St Ste D, Burr Ridge, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1790020477 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 038012249 (Illinois) | Primary |
Provider Name | Vitality Health Center |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1336389097 PECOS PAC ID: 0244388197 Enrollment ID: O20090501000392 |
Provider Name | Vitality Health And Wellness |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1649941766 PECOS PAC ID: 2961898762 Enrollment ID: O20220404002014 |
Mailing Address | Practice Location Address |
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Dr Brooklyn Washington, DC 16w343 83rd St Ste D, Burr Ridge, IL 60527-7950 Ph: (630) 908-7634 | Dr Brooklyn Washington, DC 16w343 83rd St Ste D, Burr Ridge, IL 60527-7950 Ph: (630) 908-7634 |
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