Dr Evan Paul Antolik, DC | |
3135 7th St, Moline, IL 61265-5970 | |
(309) 762-1431 | |
(309) 762-2680 |
Full Name | Dr Evan Paul Antolik |
---|---|
Gender | Male |
Speciality | Chiropractor |
Location | 3135 7th St, Moline, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568479137 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 038-008542 (Illinois) | Primary |
Provider Name | 7th Street Chiropractic & Acupuncture Center, Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1326249087 PECOS PAC ID: 8123285830 Enrollment ID: O20120208000647 |
Mailing Address | Practice Location Address |
---|---|
Dr Evan Paul Antolik, DC 3135 7th St, Moline, IL 61265-5970 Ph: (309) 762-1431 | Dr Evan Paul Antolik, DC 3135 7th St, Moline, IL 61265-5970 Ph: (309) 762-1431 |
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