| Health Source Of Wicker Park Pc | |
|
1448 N. Milwaukee Ave., 3rd Fl, Chicago, IL 60622 | |
| (773) 772-4000 | |
| (773) 772-4044 |
| Full Name | Health Source Of Wicker Park Pc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1448 N. Milwaukee 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 |
|---|---|---|---|
| 1215262845 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 038008228 (Illinois) | Primary |
| Provider Name | Kari Schmidt |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1578831558 PECOS PAC ID: 7012379720 Enrollment ID: I20230811002745 |
| Provider Name | Katie Carlin |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1265923494 PECOS PAC ID: 7113364084 Enrollment ID: I20240327002212 |
| Mailing Address | Practice Location Address |
|---|---|
| Health Source Of Wicker Park Pc 1448 N. Milwaukee Ave., 3rd Fl, Chicago, IL 60622 Ph: (773) 772-4000 | Health Source Of Wicker Park Pc 1448 N. Milwaukee Ave., 3rd Fl, Chicago, IL 60622 Ph: (773) 772-4000 |
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