| Klinedinst Chiropractic, Llc | |
|
106 Martin Ave, Canton, IL 61520-2519 | |
| (309) 647-8030 | |
| (309) 647-5902 |
| Full Name | Klinedinst Chiropractic, Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 106 Martin Ave, Canton, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972703627 | NPI | - | NPPES |
| IL3472 | Other | IL | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 038-004195 (Illinois) | Primary |
| Provider Name | Randy L Klinedinst |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1659419331 PECOS PAC ID: 5092801803 Enrollment ID: I20071009000867 |
| Provider Name | Tyson L Klinedinst |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1053635318 PECOS PAC ID: 8921123654 Enrollment ID: I20100917000352 |
| Mailing Address | Practice Location Address |
|---|---|
| Klinedinst Chiropractic, Llc 106 Martin Ave, Canton, IL 61520-2519 Ph: (309) 647-8030 | Klinedinst Chiropractic, Llc 106 Martin Ave, Canton, IL 61520-2519 Ph: (309) 647-8030 |
Dr. Tyson Laverne Klinedinst, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 106 Martin Ave, Canton, IL 61520 Phone: 309-647-8030 Fax: 309-647-5902 | |
Dr. John S Raker, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 505 E Maple St, Canton, IL 61520 Phone: 309-647-4912 | |
Ms. Crystal Dawn Morse, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 360 E Linn St, Canton, IL 61520 Phone: 309-647-7490 | |
Dr. Valerie G Edwards-peterson, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 416 W Locust St, Canton, IL 61520 Phone: 309-649-6009 | |
Dr. Brandon Michael Wright, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 175 S Main St, Canton, IL 61520 Phone: 309-224-7983 | |
Dr. Thomas E Eiselt, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 45 E Side Sq Ste 101, Ste 101, Canton, IL 61520 Phone: 309-647-3502 Fax: 309-647-3698 | |
Gayon High Performance Chiropractic & Rehab, Inc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 162 E Chestnut St, Canton, IL 61520 Phone: 309-649-8000 Fax: 309-649-8002 |