| Eastland Lifestyle Center | |
|
2710 E Lincoln St, Bloomington, IL 61704-6010 | |
| (309) 662-8418 | |
| (309) 662-8197 |
| Full Name | Eastland Lifestyle Center |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 2710 E Lincoln St, Bloomington, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235688110 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Jessica L Bruin |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1578865499 PECOS PAC ID: 0840461927 Enrollment ID: I20110921000415 |
| Provider Name | Morgan Riley |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1104694314 PECOS PAC ID: 4385095397 Enrollment ID: I20240103004279 |
| Provider Name | Kamal Tej Annavarapu |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1518722826 PECOS PAC ID: 3274979174 Enrollment ID: I20240314000802 |
| Mailing Address | Practice Location Address |
|---|---|
| Eastland Lifestyle Center 2710 E Lincoln St, Bloomington, IL 61704-6010 Ph: (309) 662-8418 | Eastland Lifestyle Center 2710 E Lincoln St, Bloomington, IL 61704-6010 Ph: (309) 662-8418 |
Dr. Mary Lou Beach, D.C., C.C.S.P. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 409 E Front St, Bloomington, IL 61701 Phone: 309-828-3415 Fax: 309-828-2665 | |
Accident & Sports Clinic Sc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3901 General Electric Rd, #2, Bloomington, IL 61704 Phone: 309-664-6040 Fax: 309-664-6121 | |
Healthy Living Family Chiropractic, P.c. Chiropractor Medicare: Medicare Enrolled Practice Location: 2202 Eastland Dr, Suite B, Bloomington, IL 61704 Phone: 309-662-3600 | |
Dr. Maranda Nicole Wyatt, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2202 Eastland Dr, Suite B, Bloomington, IL 61704 Phone: 309-303-0716 | |
Normal Spine Clinic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2405 Ge Rd, #3, Bloomington, IL 61704 Phone: 309-661-2725 Fax: 309-661-2730 | |
Dr. Robert J Hermann, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 2415 E Washington St, Suite 'f', Bloomington, IL 61704 Phone: 309-663-2423 Fax: 309-662-0223 | |
Dr Joseph F Rogge Dc Ltd Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2101 Eastland Dr, Suite E, Bloomington, IL 61704 Phone: 309-661-9123 Fax: 309-661-9010 |