Dr Michael Jeremy De Mesa Bonsol, DC | |
2018 S Michigan Ave, Chicago, IL 60616-1707 | |
(312) 588-6901 | |
Not Available |
Full Name | Dr Michael Jeremy De Mesa Bonsol |
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Gender | Male |
Speciality | Chiropractic |
Experience | 19 Years |
Location | 2018 S Michigan Ave, Chicago, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689813024 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 038011210 (Illinois) | Primary |
Provider Name | Bonsol Chiropractic Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1922665728 PECOS PAC ID: 6800229675 Enrollment ID: O20191209002249 |
Mailing Address | Practice Location Address |
---|---|
Dr Michael Jeremy De Mesa Bonsol, DC 1841 S Calumet Ave Apt 1508, Chicago, IL 60616-4817 Ph: (310) 963-5220 | Dr Michael Jeremy De Mesa Bonsol, DC 2018 S Michigan Ave, Chicago, IL 60616-1707 Ph: (312) 588-6901 |
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