Dr Hailey Logan Spencley, DC | |
4555 N Lincoln Ave, Chicago, IL 60625-2102 | |
(847) 791-7012 | |
(312) 267-1827 |
Full Name | Dr Hailey Logan Spencley |
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Gender | Female |
Speciality | Chiropractor |
Location | 4555 N Lincoln Ave, Chicago, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265219729 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 038014038 (Illinois) | Primary |
Provider Name | Active Wellness Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1902162662 PECOS PAC ID: 3072752864 Enrollment ID: O20130627000369 |
Mailing Address | Practice Location Address |
---|---|
Dr Hailey Logan Spencley, DC 1501 E Central Rd Apt 215, Arlington Heights, IL 60005-3372 Ph: (231) 268-5901 | Dr Hailey Logan Spencley, DC 4555 N Lincoln Ave, Chicago, IL 60625-2102 Ph: (847) 791-7012 |
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