| Dr Noel Cowart Davis Jr, DC | |
|
232 Main St Nw, Bourbonnais, IL 60914-1866 | |
| (815) 939-4900 | |
| Not Available |
| Full Name | Dr Noel Cowart Davis Jr |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 232 Main St Nw, Bourbonnais, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831212992 | NPI | - | NPPES |
| 0002782002 | Other | IL | BCBS |
| 37-1243600 | Other | IL | FED ID |
| 0767558 | Medicaid | IA | |
| 53643 | Other | IA | BCBS WELLMARK |
| 253414 | Other | IA | MIDLANDS |
| 9484203 | Other | IA | PHCS |
| 36-3862007 | Other | FEIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | A05844 (Iowa) | Secondary |
| 111N00000X | Chiropractor | 038-006330 (Illinois) | Primary |
| Provider Name | Chiropractic Associates Of Kankakee Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1649417593 PECOS PAC ID: 0840340121 Enrollment ID: O20090608000407 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Noel Cowart Davis Jr, DC 232 Main St Nw, Suite 201, Bourbonnais, IL 60914-1938 Ph: (815) 939-4900 | Dr Noel Cowart Davis Jr, DC 232 Main St Nw, Bourbonnais, IL 60914-1866 Ph: (815) 939-4900 |
Craig T Karvala, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 232 Main St Nw, Suite 201, Bourbonnais, IL 60914 Phone: 815-939-4900 | |
Dr. John Paul Grumish, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 40 Briarcliff Professional Center, Bourbonnais, IL 60914 Phone: 815-939-0990 Fax: 815-939-0822 | |
Dr. Martin Orval Minney, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1230 Armour Rd, Bourbonnais, IL 60914 Phone: 815-274-5487 | |
Grumish Chiropractic Offices Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 40 Briarcliff Professional Center, Bourbonnais, IL 60914 Phone: 815-939-0990 Fax: 815-939-0822 | |
Hoffman Chiropractic Clinic Pc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 662 N Convent St, Bourbonnais, IL 60914 Phone: 815-937-0446 Fax: 815-937-0487 | |
Dr. Thomas D Koehler, DC CCSP Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 232 Main St Nw, Suite 201, Bourbonnais, IL 60914 Phone: 815-939-4900 Fax: 815-939-4951 | |
Dr. Michael Sean Schroer, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 40 Briarcliff Ln, Professional Center, Bourbonnais, IL 60914 Phone: 815-939-0990 Fax: 815-939-0822 |