Great Lakes Physical Medicine Llc | |
25200 Chagrin Blvd Ste 103, Beachwood, OH 44122-5681 | |
(570) 575-5414 | |
Not Available |
Full Name | Great Lakes Physical Medicine Llc |
---|---|
Type | Facility |
Speciality | Chiropractor |
Location | 25200 Chagrin Blvd Ste 103, Beachwood, Ohio |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356973267 | NPI | - | NPPES |
0281891 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | (* (Not Available)) | Primary |
261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Secondary |
Mailing Address | Practice Location Address |
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Great Lakes Physical Medicine Llc 25200 Chagrin Blvd Ste 103, Beachwood, OH 44122-5681 Ph: (570) 575-5414 | Great Lakes Physical Medicine Llc 25200 Chagrin Blvd Ste 103, Beachwood, OH 44122-5681 Ph: (570) 575-5414 |
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