| Jake P Changelon, DC | |
|
10705 Ruth Rd, Huntley, IL 60142-7156 | |
| (815) 342-7167 | |
| Not Available |
| Full Name | Jake P Changelon |
|---|---|
| Gender | Male |
| Speciality | Chiropractic |
| Experience | 4 Years |
| Location | 10705 Ruth Rd, Huntley, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720681638 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 38013625 (Illinois) | Primary |
| Provider Name | Scott Cruse Dc Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1487051645 PECOS PAC ID: 4981928066 Enrollment ID: O20150120001693 |
| Provider Name | Evolve Chiropractic Palatine Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1861946923 PECOS PAC ID: 7719268820 Enrollment ID: O20170104001230 |
| Provider Name | Evolve North I Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1558951723 PECOS PAC ID: 8325438716 Enrollment ID: O20211129000432 |
| Mailing Address | Practice Location Address |
|---|---|
| Jake P Changelon, DC 10705 Ruth Rd, Huntley, IL 60142-7156 Ph: (815) 342-7167 | Jake P Changelon, DC 10705 Ruth Rd, Huntley, IL 60142-7156 Ph: (815) 342-7167 |
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