| Dr Scott Jason Spencer, DC | |
|
205 W Randolph St, 1205, Chicago, IL 60606-1867 | |
| (312) 265-6908 | |
| (312) 264-0347 |
| Full Name | Dr Scott Jason Spencer |
|---|---|
| Gender | Male |
| Speciality | Chiropractic |
| Experience | 24 Years |
| Location | 205 W Randolph St, 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 |
|---|---|---|---|
| 1679620306 | NPI | - | NPPES |
| 7626403 | Other | IL | AETNA |
| 01629928 | Other | IL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111NS0005X | Chiropractor - Sports Physician | 038009369 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Chicago Sports And Chiropractic Medicine Sc | 6608878657 | 2 |
| Provider Name | Chicago Sports And Chiropractic Medicine Sc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1255367876 PECOS PAC ID: 6608878657 Enrollment ID: O20070205000540 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Scott Jason Spencer, DC 205 W Randolph St, 1205, Chicago, IL 60606-1867 Ph: (312) 265-6908 | Dr Scott Jason Spencer, DC 205 W Randolph St, 1205, Chicago, IL 60606-1867 Ph: (312) 265-6908 |
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