Elite Rehabilitation Institute Braidwood Llc | |
180 E Main St, Braidwood, IL 60408-1912 | |
(815) 458-2225 | |
(815) 458-9825 |
Full Name | Elite Rehabilitation Institute Braidwood Llc |
---|---|
Type | Facility |
Speciality | Chiropractor |
Location | 180 E Main St, Braidwood, Illinois |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003105495 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 038009041 (Illinois) | Primary |
225100000X | Physical Therapist | 070013955 (Illinois) | Secondary |
Provider Name | Anthony M Pirie |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1992884670 PECOS PAC ID: 5991853384 Enrollment ID: I20090422000595 |
Provider Name | Jason P Lamarche |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1710110481 PECOS PAC ID: 2264578913 Enrollment ID: I20091009000216 |
Provider Name | Rebecca A Lamarche |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1700113578 PECOS PAC ID: 6800048448 Enrollment ID: I20121206000365 |
Provider Name | Lucas A Tanner |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1639407992 PECOS PAC ID: 9537579420 Enrollment ID: I20201104001232 |
Mailing Address | Practice Location Address |
---|---|
Elite Rehabilitation Institute Braidwood Llc 180 E Main St, Braidwood, IL 60408-1912 Ph: (815) 458-2225 | Elite Rehabilitation Institute Braidwood Llc 180 E Main St, Braidwood, IL 60408-1912 Ph: (815) 458-2225 |
Dr. Jason P Lamarche, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 180 E Main St, Braidwood, IL 60408 Phone: 815-458-2225 Fax: 815-458-9825 | |
Gentle Hands Chiropractic, Pc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 505 W Kennedy Rd, Braidwood, IL 60408 Phone: 815-458-2225 Fax: 866-272-7518 |