| Dr Mark Allen Sloan, DC | |
|
1820 Windsor Rd, Loves Park, IL 61111-4271 | |
| (779) 423-1700 | |
| Not Available |
| Full Name | Dr Mark Allen Sloan |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 1820 Windsor Rd, Loves Park, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033168307 | NPI | - | NPPES |
| 890838A | Medicaid | NC | |
| 890938A | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 2682 (North Carolina) | Secondary |
| 111N00000X | Chiropractor | 038008006 (Illinois) | Primary |
| Provider Name | West 84th Drive Chiropractic Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1477118818 PECOS PAC ID: 5496186207 Enrollment ID: O20200512000614 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark Allen Sloan, DC 1820 Windsor Rd, Loves Park, IL 61111-4271 Ph: (779) 423-1700 | Dr Mark Allen Sloan, DC 1820 Windsor Rd, Loves Park, IL 61111-4271 Ph: (779) 423-1700 |
Dr. Nellie Christ, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 1820 Windsor Rd, Loves Park, IL 61111 Phone: 779-423-1700 Fax: 866-204-5965 | |
Dr. Colleen Noe, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1820 Windsor Rd, Loves Park, IL 61111 Phone: 779-423-1700 Fax: 866-596-1027 | |
Clarke Shih, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 1820 Windsor Rd, Loves Park, IL 61111 Phone: 815-986-4411 Fax: 815-986-4414 | |
Comprehensive Medical Rehabilition Inc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1820 Windsor Rd, Suite A, Loves Park, IL 61111 Phone: 815-986-4411 Fax: 815-986-4414 | |
Mr. Daniel S Bradt, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 116 East Riverside Blvd, Loves Park, IL 61111 Phone: 815-633-7000 Fax: 815-633-7046 | |
Premier Medical Rehabilitation Sc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1820 Windsor Rd, Loves Park, IL 61111 Phone: 815-986-4411 |