| Gergovich Family Chiropractic, Llc. | |
|
130 3rd St, La Salle, IL 61301 | |
| (815) 223-0647 | |
| (815) 223-0987 |
| Full Name | Gergovich Family Chiropractic, Llc. |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 130 3rd St, La Salle, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619267135 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 038011831 (Illinois) | Primary |
| Provider Name | Michael J Gergovich |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1295032084 PECOS PAC ID: 0244405165 Enrollment ID: I20111205000539 |
| Mailing Address | Practice Location Address |
|---|---|
| Gergovich Family Chiropractic, Llc. 130 3rd St, La Salle, IL 61301-2312 Ph: (815) 223-0647 | Gergovich Family Chiropractic, Llc. 130 3rd St, La Salle, IL 61301 Ph: (815) 223-0647 |
Mr. William L Judge, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 130 3rd St, La Salle, IL 61301 Phone: 815-223-0647 Fax: 815-223-0987 | |
William L. Judge Chiropractic Center, Pc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 130 3rd St, La Salle, IL 61301 Phone: 815-223-0647 Fax: 815-223-0987 | |
Dr. Michael James Gergovich, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 130 3rd St, La Salle, IL 61301 Phone: 815-223-0647 Fax: 815-223-0987 | |
Mr. Patrick R Smith, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 130 3rd St, La Salle, IL 61301 Phone: 815-223-0647 Fax: 815-223-0987 | |
Dr. Glen R Peterson, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 501 1st St, La Salle, IL 61301 Phone: 815-223-4201 Fax: 814-223-4210 | |
Illinois Valley Chiropractic, Ltd Chiropractor Medicare: Medicare Enrolled Practice Location: 501 1st St, La Salle, IL 61301 Phone: 815-223-4201 Fax: 815-223-4210 |