Eastside Wellness Chiropractic | |
351 Rusche St, Creve Coeur, IL 61610-3185 | |
(309) 694-3565 | |
(309) 694-3652 |
Full Name | Eastside Wellness Chiropractic |
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Type | Facility |
Speciality | Chiropractor |
Location | 351 Rusche St, Creve Coeur, Illinois |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1215940119 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 38-006151 (Illinois) | Primary |
Provider Name | Brian E Rafool |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1275505091 PECOS PAC ID: 3173516176 Enrollment ID: I20040406000572 |
Provider Name | Taylor Bradley Rafool |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1902288491 PECOS PAC ID: 8527379023 Enrollment ID: I20150625000302 |
Mailing Address | Practice Location Address |
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Eastside Wellness Chiropractic 351 Rusche St, Creve Coeur, IL 61610-3185 Ph: (309) 694-3565 | Eastside Wellness Chiropractic 351 Rusche St, Creve Coeur, IL 61610-3185 Ph: (309) 694-3565 |
Dr. Brian E Rafool, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 351 Rusche St, Creve Coeur, IL 61610 Phone: 309-694-3565 | |
Taylor Rafool, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 351 Rusche St, Creve Coeur, IL 61610 Phone: 309-694-3565 Fax: 309-694-3652 | |
Dr. Dennis Lane Conway, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 200 N Highland St, Creve Coeur, IL 61610 Phone: 309-694-3565 |