| Legendary Life, Ltd | |
|
2603 W 22nd St, Suite 17, Oak Brook, IL 60523-1213 | |
| (520) 431-4142 | |
| Not Available |
| Full Name | Legendary Life, Ltd |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 2603 W 22nd St, Oak Brook, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639527153 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 038006888 (Illinois) | Primary |
| Provider Name | Kenneth Torrens |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1821038753 PECOS PAC ID: 2264331099 Enrollment ID: I20111214000760 |
| Mailing Address | Practice Location Address |
|---|---|
| Legendary Life, Ltd 2603 W 22nd St, Suite 17, Oak Brook, IL 60523-1213 Ph: () - | Legendary Life, Ltd 2603 W 22nd St, Suite 17, Oak Brook, IL 60523-1213 Ph: (520) 431-4142 |
Dr. Matthew Ryan Greenberg, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1100 Jorie Blvd Ste 318, Oak Brook, IL 60523 Phone: 630-828-2271 | |
Dr. Kevin M. Connolly, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 900 Jorie Blvd, Suite 104, Oak Brook, IL 60523 Phone: 630-574-0422 Fax: 630-574-1002 | |
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