Greenwood Spine Care Pllc | |
11001 S Kedzie Ave, Chicago, IL 60655-2221 | |
(773) 585-5550 | |
(773) 585-1061 |
Full Name | Greenwood Spine Care Pllc |
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Type | Facility |
Speciality | Chiropractor |
Location | 11001 S Kedzie Ave, Chicago, Illinois |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528521341 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Michael W Hausch |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1972791184 PECOS PAC ID: 6204924137 Enrollment ID: I20071110000041 |
Provider Name | Thomas P Toulios |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1952465957 PECOS PAC ID: 4183810500 Enrollment ID: I20101124001059 |
Provider Name | Brittany K Hennigan |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1790223543 PECOS PAC ID: 0749563831 Enrollment ID: I20170215003004 |
Provider Name | Ryan Bielecki |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1538811393 PECOS PAC ID: 6002200177 Enrollment ID: I20220307001424 |
Mailing Address | Practice Location Address |
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Greenwood Spine Care Pllc 11001 S Kedzie Ave, Chicago, IL 60655-2221 Ph: (773) 585-5550 | Greenwood Spine Care Pllc 11001 S Kedzie Ave, Chicago, IL 60655-2221 Ph: (773) 585-5550 |
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