| Liles Chiropractic Clinic Ltd. | |
|
238 W Main St., Lena, IL 61048-9770 | |
| (815) 369-4974 | |
| (815) 369-4975 |
| Full Name | Liles Chiropractic Clinic Ltd. |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 238 W Main St., Lena, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881768737 | NPI | - | NPPES |
| 01582005 | Other | IL | BLUE CROSS & BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (Illinois) | Primary |
| Provider Name | James T Liles |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1972574689 PECOS PAC ID: 0345385159 Enrollment ID: I20100304000584 |
| Provider Name | Jared T Liles |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1487981791 PECOS PAC ID: 7113062936 Enrollment ID: I20100304000636 |
| Mailing Address | Practice Location Address |
|---|---|
| Liles Chiropractic Clinic Ltd. Po Box 424, Lena, IL 61048-0424 Ph: (815) 369-4974 | Liles Chiropractic Clinic Ltd. 238 W Main St., Lena, IL 61048-9770 Ph: (815) 369-4974 |
Dr. Bradley Brunner, DC, CCSP Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 214 Rousch St, Lena, IL 61048 Phone: 843-609-5944 | |
Dr. Jared T. Liles, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 238 W Main St, Lena, IL 61048 Phone: 815-369-4974 | |
Midwest Modern Health Pllc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 306 East Main Street, Lena, IL 61048 Phone: 815-291-2282 | |
Dr. James T Liles, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 238 W Main St, Lena, IL 61048 Phone: 815-369-4974 Fax: 815-369-4975 |