| Dr Kelsey Botterman, DC, ND | |
|
820 E Terra Cotta Ave Ste 215, Crystal Lake, IL 60014-3646 | |
| (847) 343-7366 | |
| Not Available |
| Full Name | Dr Kelsey Botterman |
|---|---|
| Gender | Female |
| Speciality | Chiropractor |
| Location | 820 E Terra Cotta Ave Ste 215, Crystal Lake, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962943936 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 038.012879 (Illinois) | Primary |
| Provider Name | Withania Natural Health, Sc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1649872003 PECOS PAC ID: 4183095003 Enrollment ID: O20230131002751 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kelsey Botterman, DC, ND 820 E Terra Cotta Ave Ste 215, Crystal Lake, IL 60014-3646 Ph: (847) 343-7366 | Dr Kelsey Botterman, DC, ND 820 E Terra Cotta Ave Ste 215, Crystal Lake, IL 60014-3646 Ph: (847) 343-7366 |
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