Dr Katherine Smoron, DC | |
401 W Prospect Ave, Mount Prospect, IL 60056-3031 | |
(847) 255-2528 | |
Not Available |
Full Name | Dr Katherine Smoron |
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Gender | Female |
Speciality | Chiropractor |
Location | 401 W Prospect Ave, Mount Prospect, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205542487 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 038.013956 (Illinois) | Primary |
Provider Name | Katie Smoron Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1144927138 PECOS PAC ID: 5496120834 Enrollment ID: O20230417001762 |
Mailing Address | Practice Location Address |
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Dr Katherine Smoron, DC 401 W Prospect Ave, Mount Prospect, IL 60056-3031 Ph: (847) 255-2528 | Dr Katherine Smoron, DC 401 W Prospect Ave, Mount Prospect, IL 60056-3031 Ph: (847) 255-2528 |
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