Dr Maurice Eugene Sullivan Iii, DC | |
1209 N Main St, #b, Chatham, IL 62629-0264 | |
(217) 483-2207 | |
(217) 483-3248 |
Full Name | Dr Maurice Eugene Sullivan Iii |
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Gender | Female |
Speciality | Chiropractor |
Location | 1209 N Main St, Chatham, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649496076 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | (Illinois) | Primary |
Provider Name | Sullivan Chiropractic Of Chatham, P.c. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1891837027 PECOS PAC ID: 0042390569 Enrollment ID: O20080109000326 |
Mailing Address | Practice Location Address |
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Dr Maurice Eugene Sullivan Iii, DC Po Box 264, Chatham, IL 62629-0264 Ph: (217) 483-2207 | Dr Maurice Eugene Sullivan Iii, DC 1209 N Main St, #b, Chatham, IL 62629-0264 Ph: (217) 483-2207 |
Dr. Ronald Carter Wenneborg, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 160 Redwing Ct, Chatham, IL 62629 Phone: 217-483-5215 | |
Dr. John Bryan Taylor, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 101 E Plummer Blvd, Chatham, IL 62629 Phone: 217-483-1551 Fax: 217-483-6294 | |
Dr. Michael Robert Jones, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1209 N Main St, Suite B, Chatham, IL 62629 Phone: 217-483-2207 Fax: 217-483-3248 | |
Jones Chiropractic Sc Chiropractor Medicare: Medicare Enrolled Practice Location: 1209 N Main St, Suite A, Chatham, IL 62629 Phone: 217-483-2207 Fax: 217-483-3248 | |
Sullivan Chiropractic Center Chiropractor Medicare: Medicare Enrolled Practice Location: 1209 N. Main St., #b, Chatham, IL 62629 Phone: 217-483-2207 Fax: 217-483-3248 |