Dr Clifton Samuel Brereton, DC | |
1455 Merchant Dr, Algonquin, IL 60102-5917 | |
(847) 854-4545 | |
(847) 854-4728 |
Full Name | Dr Clifton Samuel Brereton |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 22 Years |
Location | 1455 Merchant Dr, Algonquin, 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 |
---|---|---|---|
1770629446 | NPI | - | NPPES |
0035640632 | Other | IL | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | (Illinois) | Primary |
Provider Name | Active Family Chiropractic |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1619095866 PECOS PAC ID: 7911943584 Enrollment ID: O20050705000869 |
Mailing Address | Practice Location Address |
---|---|
Dr Clifton Samuel Brereton, DC 1455 Merchant Dr, Algonquin, IL 60102-5917 Ph: (847) 854-4545 | Dr Clifton Samuel Brereton, DC 1455 Merchant Dr, Algonquin, IL 60102-5917 Ph: (847) 854-4545 |
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