| Jackson Chiropractic Pc | |
|
2912 Crossing Court, Champaign, IL 61822-6163 | |
| (217) 351-7746 | |
| (866) 204-2774 |
| Full Name | Jackson Chiropractic Pc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 2912 Crossing Court, Champaign, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982735536 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 038010337 (Illinois) | Primary |
| Provider Name | Clint A Jackson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1174569834 PECOS PAC ID: 2668523408 Enrollment ID: I20090707000708 |
| Mailing Address | Practice Location Address |
|---|---|
| Jackson Chiropractic Pc 2912 Crossing Court, Champaign, IL 61822-6163 Ph: (217) 351-7746 | Jackson Chiropractic Pc 2912 Crossing Court, Champaign, IL 61822-6163 Ph: (217) 351-7746 |
Dr. Edward Soojin Chun, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1207 S Mattis Ave, Ste2, Champaign, IL 61821 Phone: 217-355-5922 Fax: 217-355-5925 | |
Julie A Lorence, Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1712 S. Duncan Road, Suite B, Champaign, IL 61822 Phone: 217-359-6625 Fax: 217-355-9771 | |
Dr. Matthew Brooks Butler, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 2911 Crossing Court, Suite 101, Champaign, IL 61822 Phone: 217-359-0550 Fax: 217-359-0808 | |
Dr. Tommy Keith Gossett, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 2009 Fox Drive, Champaign, IL 61820 Phone: 217-351-8040 Fax: 217-239-5983 | |
Pride Clinic, Sc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3105 Village Office Place, Champaign, IL 61822 Phone: 217-352-9108 | |
Dr. Kassie Jean Young, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 2911 Crossing Ct Suite 101, Champaign, IL 61822 Phone: 217-359-0550 Fax: 217-359-0808 | |
Daniel John Vanklingeren, Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1103 W Windsor Rd, Champaign, IL 61821 Phone: 217-954-0124 Fax: 217-954-0135 |