| Jerry Brian Vincent Jr, DC | |
|
199 S Addison Rd Ste 106, Wood Dale, IL 60191-1978 | |
| (630) 766-1552 | |
| Not Available |
| Full Name | Jerry Brian Vincent Jr |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 199 S Addison Rd Ste 106, Wood Dale, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215786835 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 038.014151 (Illinois) | Primary |
| Provider Name | Illinois Neuro & Physical Rehabilitation Ltd |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1043570005 PECOS PAC ID: 6204092539 Enrollment ID: O20120731000681 |
| Mailing Address | Practice Location Address |
|---|---|
| Jerry Brian Vincent Jr, DC 780 E Irving Park Rd Ste 2w, Roselle, IL 60172-4343 Ph: (706) 728-5109 | Jerry Brian Vincent Jr, DC 199 S Addison Rd Ste 106, Wood Dale, IL 60191-1978 Ph: (630) 766-1552 |
Mr. Qirjako Kirk Hoda, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 404 W Irving Park Road, Suite #1, Wood Dale, IL 60191 Phone: 630-709-4469 | |
Illinois Neuro & Physical Rehabilitation Ltd Chiropractor Medicare: Medicare Enrolled Practice Location: 199 S Addison Rd, Ste. 105, Wood Dale, IL 60191 Phone: 630-766-1552 | |
Dr. George K. Michalopoulos, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 199 S Addison Rd, Ste 105-106, Wood Dale, IL 60191 Phone: 630-766-1552 Fax: 630-766-4220 | |
Christie Drzewiecki, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 199 S Addison Rd Ste 106, Wood Dale, IL 60191 Phone: 810-252-4031 | |
Spinal Health Clinic Inc Chiropractor Medicare: Medicare Enrolled Practice Location: 345 E Irving Park Rd, Wood Dale, IL 60191 Phone: 630-766-6200 Fax: 630-496-0315 | |
Dr. Nancy J Cannon, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 345 E Irving Park Rd, Wood Dale, IL 60191 Phone: 630-766-6200 Fax: 630-496-0315 | |
Nicholas Schmidlkofer, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 199 S Addison Rd Ste 106, Wood Dale, IL 60191 Phone: 630-766-1552 |