Lebanon Healthcare Llc | |
110 W Saint Louis St, Lebanon, IL 62254-1559 | |
(618) 654-4520 | |
(618) 654-1063 |
Full Name | Lebanon Healthcare Llc |
---|---|
Type | Facility |
Speciality | Chiropractor |
Location | 110 W Saint Louis St, Lebanon, Illinois |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427892090 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Marcus Daniel Alvarado |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1386181469 PECOS PAC ID: 1658655881 Enrollment ID: I20180118002810 |
Provider Name | Blake William Randles |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1679886675 PECOS PAC ID: 3971974718 Enrollment ID: I20230113002014 |
Mailing Address | Practice Location Address |
---|---|
Lebanon Healthcare Llc 1210 Washington St, Highland, IL 62249-1925 Ph: (618) 654-4520 | Lebanon Healthcare Llc 110 W Saint Louis St, Lebanon, IL 62254-1559 Ph: (618) 654-4520 |
Lebanon Chiropractic Clinic Pc Chiropractor Medicare: Medicare Enrolled Practice Location: 110 W Saint Louis St, Lebanon, IL 62254 Phone: 618-537-4407 | |
Dr. Dale A Fischer, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 110 W Saint Louis St, Lebanon, IL 62254 Phone: 618-537-4407 Fax: 618-537-4409 |