| Keith William Walder, DC | |
|
1815 S Main St, Eureka, IL 61530-1707 | |
| (309) 265-0200 | |
| (309) 205-3896 |
| Full Name | Keith William Walder |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 1815 S Main St, Eureka, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659102382 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 038.014171 (Illinois) | Primary |
| Provider Name | Modern Movement Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1275366510 PECOS PAC ID: 6901347418 Enrollment ID: O20240925000026 |
| Mailing Address | Practice Location Address |
|---|---|
| Keith William Walder, DC 1815 S Main St, Eureka, IL 61530-1707 Ph: (309) 265-0200 | Keith William Walder, DC 1815 S Main St, Eureka, IL 61530-1707 Ph: (309) 265-0200 |
Dr. Chevi B. Guthrie, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 105 W Mill St, Eureka, IL 61530 Phone: 309-304-1016 | |
Dr. Carrie Ann Musselman, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1932 S. Main St., Eureka, IL 61530 Phone: 309-826-2701 | |
Dr. Jeffrey Daniel Schmidgall, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1932 S Main St, Eureka, IL 61530 Phone: 309-467-5000 Fax: 309-467-5100 | |
Modern Movement Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 1815 S Main St, Eureka, IL 61530 Phone: 309-265-0200 Fax: 309-205-3896 | |
Preferred Care Medical Center Ltd. Chiropractor Medicare: Medicare Enrolled Practice Location: 1932 S Main St, Eureka, IL 61530 Phone: 309-467-5000 Fax: 309-467-5100 | |
Preferred Care Chiropractic Ltd Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1932 S Main St, Eureka, IL 61530 Phone: 309-826-2701 |