Jacob Lombardi Mammosser, DC | |
3070 Wolf Rd, Westchester, IL 60154-5622 | |
(708) 223-8494 | |
(708) 731-3908 |
Full Name | Jacob Lombardi Mammosser |
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Gender | Male |
Speciality | Chiropractor |
Location | 3070 Wolf Rd, Westchester, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306552559 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 038.013958 (Illinois) | Primary |
Provider Name | Petrak Family Chiropractic Center Sc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1841661774 PECOS PAC ID: 3173824257 Enrollment ID: O20151214002504 |
Mailing Address | Practice Location Address |
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Jacob Lombardi Mammosser, DC 3070 Wolf Rd, Westchester, IL 60154-5622 Ph: (708) 223-8494 | Jacob Lombardi Mammosser, DC 3070 Wolf Rd, Westchester, IL 60154-5622 Ph: (708) 223-8494 |
Dr. Dustin Jon Lamoureux, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1518 Portsmouth Ave, Westchester, IL 60154 Phone: 808-780-2814 | |
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Young M Kim Corporation Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 9865 W Roosevelt Rd, Ste 105, Westchester, IL 60154 Phone: 708-344-1422 Fax: 708-344-1481 | |
Dr. Robert Anthony Macchione, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1900 S Mannheim Rd, Westchester, IL 60154 Phone: 708-562-1234 Fax: 708-562-1744 | |
Americare Health & Rehab Centetr Pc Chiropractor Medicare: Medicare Enrolled Practice Location: 1900 S Mannheim Rd, Westchester, IL 60154 Phone: 708-562-1234 Fax: 708-562-1744 |