Integrated Physical Medicine Of Naperville Pllc | |
2155 City Gate Ln Ste 123, Naperville, IL 60563-7733 | |
(331) 249-3999 | |
(331) 249-4029 |
Full Name | Integrated Physical Medicine Of Naperville Pllc |
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Type | Facility |
Speciality | Chiropractor |
Location | 2155 City Gate Ln Ste 123, Naperville, 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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1013559020 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Jonathan M Polcyn |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1982817813 PECOS PAC ID: 6709064652 Enrollment ID: I20110624000316 |
Mailing Address | Practice Location Address |
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Integrated Physical Medicine Of Naperville Pllc 2155 City Gate Ln Ste 123, Naperville, IL 60563-7733 Ph: (331) 249-3999 | Integrated Physical Medicine Of Naperville Pllc 2155 City Gate Ln Ste 123, Naperville, IL 60563-7733 Ph: (331) 249-3999 |
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