Greater Good Chiropractic Care, Llc | |
240 W River Dr, St Charles, IL 60174-5535 | |
(331) 442-4081 | |
Not Available |
Full Name | Greater Good Chiropractic Care, Llc |
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Type | Facility |
Speciality | Chiropractor |
Location | 240 W River Dr, St Charles, 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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1841787835 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 038013140 (Illinois) | Primary |
Provider Name | Connor J Lavallie |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1205354503 PECOS PAC ID: 0547524886 Enrollment ID: I20180514001227 |
Mailing Address | Practice Location Address |
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Greater Good Chiropractic Care, Llc 240 W River Dr, St Charles, IL 60174-5535 Ph: (331) 442-4081 | Greater Good Chiropractic Care, Llc 240 W River Dr, St Charles, IL 60174-5535 Ph: (331) 442-4081 |
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