Dr Richard Allen Powell, DC | |
565 N York St, Elmhurst, IL 60126-1902 | |
(630) 832-4077 | |
(630) 832-9487 |
Full Name | Dr Richard Allen Powell |
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Gender | Male |
Speciality | Chiropractor |
Location | 565 N York St, Elmhurst, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760596639 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | (Illinois) | Primary |
Provider Name | Powell Chiropractic Clinic S.c. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1891931937 PECOS PAC ID: 8022171750 Enrollment ID: O20090107000196 |
Mailing Address | Practice Location Address |
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Dr Richard Allen Powell, DC 565 N York St, Elmhurst, IL 60126-1902 Ph: (630) 832-4077 | Dr Richard Allen Powell, DC 565 N York St, Elmhurst, IL 60126-1902 Ph: (630) 832-4077 |
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