Dr Michael Wayne Childress, DC | |
217 E Broadway Blvd, Johnston City, IL 62951-1604 | |
(618) 983-3900 | |
(618) 983-3900 |
Full Name | Dr Michael Wayne Childress |
---|---|
Gender | Male |
Speciality | Chiropractor |
Location | 217 E Broadway Blvd, Johnston City, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518155886 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 038011140 (Illinois) | Primary |
111N00000X | Chiropractor | 2007030809 (Missouri) | Secondary |
Mailing Address | Practice Location Address |
---|---|
Dr Michael Wayne Childress, DC 217 E Broadway Blvd, Johnston City, IL 62951-1604 Ph: (618) 983-3900 | Dr Michael Wayne Childress, DC 217 E Broadway Blvd, Johnston City, IL 62951-1604 Ph: (618) 983-3900 |
Dr. Robert Donald Martin, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 217 E Broadway Blvd, Johnston City, IL 62951 Phone: 619-983-3900 | |
Marvel Chiropractic And Wellness Center Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 417 E Broadway Blvd, Johnston City, IL 62951 Phone: 618-983-8100 Fax: 618-983-8110 |