| Lakefront Chiropractic Center | |
|
630 Vernon Ave, Suite F, Glencoe, IL 60022 | |
| (847) 835-4700 | |
| (847) 835-8408 |
| Full Name | Lakefront Chiropractic Center |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 630 Vernon Ave, Glencoe, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457530628 | NPI | - | NPPES |
| 9358811 | Other | OH | MEDICARE GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Joseph J Ethen |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1700845047 PECOS PAC ID: 6800818683 Enrollment ID: I20110922000628 |
| Mailing Address | Practice Location Address |
|---|---|
| Lakefront Chiropractic Center 630 Vernon Ave, Suite F, Glencoe, IL 60022 Ph: (847) 835-4700 | Lakefront Chiropractic Center 630 Vernon Ave, Suite F, Glencoe, IL 60022 Ph: (847) 835-4700 |
Ethen Chiropractic And Wellness Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 630 Vernon Ave Ste F, Glencoe, IL 60022 Phone: 847-835-4700 Fax: 847-835-8408 | |
Eric Montes, LMT Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 630 Vernon Ave Ste F, Glencoe, IL 60022 Phone: 847-835-4700 Fax: 847-835-8408 | |
Ms. Lauren J Schneider, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 378 Park Avenue, Suite 1d, Glencoe, IL 60022 Phone: 847-835-4400 Fax: 847-563-1330 | |
Dr. Joseph John Ethen, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 662 Vernon Ave, Glencoe, IL 60022 Phone: 847-835-4700 Fax: 847-835-8408 | |
North Shore Natural Medicine Inc. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 378 Park Ave, Suite 1d, Glencoe, IL 60022 Phone: 217-816-6678 Fax: 847-563-1330 | |
Lakefront Chiropractic Center P.c. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 630 Vernon Ave, Suite F, Glencoe, IL 60022 Phone: 847-835-4700 |